NPIMap

Organization Active NPI

In-Home Care of Wisconsin, Inc.

  • In Home Supportive Care Agency
  • Appleton, WI
National Provider Identifier
1487959490
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
IN-HOME CARE OF WISCONSIN, INC.
Practice address
611 N Lynndale Dr
125
Appleton, WI 54914-3041
Phone
(715) 203-1337
Fax
(800) 839-7065
NPI assigned
Jan 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas Yang
Title
Ceo
Phone
(715) 203-1337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

611 N Lynndale Dr
125
Appleton, WI 54914-3041

Mailing address

611 N Lynndale Dr
125
Appleton, WI 54914-3041
Phone (715) 203-1337

National Provider Directory

National Provider Directory

Locations

611 N Lynndale Dr
Ste 125
Appleton, WI 54914
Phone (715) 203-1337

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1487959490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N LYNNDALE DR",
            "address_2": "125",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143041",
            "telephone_number": "715-203-1337",
            "fax_number": "800-839-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N LYNNDALE DR",
            "address_2": "125",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143041",
            "telephone_number": "715-203-1337",
            "fax_number": "800-839-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-HOME CARE OF WISCONSIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-203-1337"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.