Active NPI
Boost Home Health LLC
- Rehabilitation Clinic/Center
- New Richmond, WI
National Provider Identifier
1508409293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- BOOST HOME HEALTH LLC
- Practice address
- 1198 121St Ave
New Richmond, WI 54017-7158 - Phone
- (715) 220-3015
- NPI assigned
- Oct 24, 2019
- Last updated
- Aug 1, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emily Grace Burns, OTR/L
- Title
- Owner
- Phone
- (715) 220-3015
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
1198 121St Ave
New Richmond, WI 54017-7158
Mailing address
1198 121St Ave
New Richmond, WI 54017-7158
Phone (715) 220-3015
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596240000000",
"number": "1508409293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1198 121ST AVE",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540177158",
"telephone_number": "715-220-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1198 121ST AVE",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540177158",
"telephone_number": "715-220-3015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOOST HOME HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-24",
"last_updated": "2020-08-01",
"certification_date": "2020-08-01",
"status": "A",
"authorized_official_last_name": "BURNS",
"authorized_official_first_name": "EMILY",
"authorized_official_middle_name": "GRACE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "715-220-3015",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Richmond, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.