Homme Home for the Aging Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

306 Issued in WI

Legal business name

HOMME HOME FOR THE AGING INC.

Doing business as

Homme Home of Wittenberg

Practice address

604 S Webb St
Wittenberg, WI 54499-9040

Phone

(715) 253-2125

Fax

(715) 253-3538

NPI assigned

Feb 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rodney Wendorf

Title

Cfo

Phone

(715) 253-2125

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Homme Home of Wittenberg Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508901158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S WEBB ST",
            "city": "WITTENBERG",
            "state": "WI",
            "postal_code": "544999040",
            "telephone_number": "715-253-2125",
            "fax_number": "715-253-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S WEBB ST",
            "city": "WITTENBERG",
            "state": "WI",
            "postal_code": "544999040",
            "telephone_number": "715-253-2125",
            "fax_number": "715-253-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMME HOME FOR THE AGING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WENDORF",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "715-253-2125",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20-153700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homme Home of Wittenberg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gwidt Pharmacy Inc (Gwidt Pharmacy)
• Maria Hachfeld, SLP
• Michael D Haylett, DPT
• Nichol M Hermel, PT
• Ho Chunk Nation (Ho-Chunk Behavioral Health Center-Wittenberg)
• Joan Ostermeier Physical Therapy Limited Partnerhsip (Sport & Spine of Wittenberg)
• Joan Ostermeier Physical Therapy Limited Partnership (Sport & Spine Clinic of Wittenberg)
• Shawne Nicole Judnic, MS, LPC
• Karleen Kemp
• Andrea Kramer

• Skilled Nursing Facility in Wittenberg, WI
• Providers in Wittenberg, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.