International Quality Homecare of Wisconsin LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INTERNATIONAL QUALITY HOMECARE OF WISCONSIN LLC

Practice address

15614 Windrose LN Ste 300
Hayward, WI 54843-5004

Phone

(877) 854-1411

NPI assigned

Mar 5, 2019

Organization subpart

No

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

Authorized official

Name

Jayne Johnson, BS

Title

Compliance Director

Phone

(507) 252-8151

Specialties & licenses 1

Addresses

Listed as

International Quality Homecare of Wisconsin, LLCCCN 527340

Ownership

Proprietary

Certified

Sep 11, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Kay Fronsee, PT

  • Physical Therapist
  • Prairie Du Sac, WI
  • NPI 1760135461
  NPD (past)
• Mark A Murray, D.C.

  • Chiropractor
  • Hayward, WI
  • NPI 1255439444
  NPD (past)

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1508324930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3261 19TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016786",
            "telephone_number": "507-252-8117",
            "fax_number": "507-252-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15614 WINDROSE LN STE 300",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548435004",
            "telephone_number": "877-854-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL QUALITY HOMECARE OF WISCONSIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_title_or_position": "COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "507-252-8151",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Impact Counseling Services, LLC
• Impact Counseling Services, LLC
• Jenny A Ingram, MS,CSAC,IDP-AT,PSIT
• Gary S Inhoff, R.PH.
• International Quality Homecare Corp
• Sally Jo Marie Iverson, LPN
• Jennie Tess Jahn, NP
• James L January, PT
• Kirsten Louise January, PT
• Anna Christine Jaquith, LAC, LMT

• All providers in Hayward, WI
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.