Active NPI
Homecare Health Services Inc
- Home Health Agency
- Manitowoc, WI
National Provider Identifier
1508965328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1
- Legal business name
- HOMECARE HEALTH SERVICES INC
- Practice address
- 1004 Washington St
Manitowoc, WI 54220-5207 - Phone
- (920) 684-7155
- NPI assigned
- Sep 21, 2006
- 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
- Lynn Seidl-Babcock
- Title
- Owner
- Phone
- (920) 684-7155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1 | WI | Primary |
Addresses
Primary practice location
1004 Washington St
Manitowoc, WI 54220-5207
Mailing address
1004 Washington St
Manitowoc, WI 54220-5207
Phone (920) 684-7155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100125000535 | WI | Part A Provider - Home Health Agency | 9537201801 | Practice locations: Manitowoc, WI |
Home health agency certification: CCN 527081
- Legal name
- HOMECARE HEALTH SERVICES INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 1, 1976
- Last certification
- Mar 26, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- May 25, 1975 in WI
- Enrollment address
- 1004 Washington Street
Manitowoc, WI 54220-5207
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Community Based Hospice Care Agency
- Manitowoc, WI
- NPI 1992891758
9537201801
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Homecare Health Services
- Overall star rating
- Ownership
- Proprietary
- Certified
- May 1, 1976
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Homecare Health Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Manitowoc, WI
- NPI 1992891758
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jeremy Seidl | W-2 Managing Employee | Mar 6, 1995 | 33% |
| Operational/Managerial Control | Mar 6, 1955 | ||
| Lynn Seidl Babcock | 5% Or Greater Direct Ownership Interest | Apr 13, 2020 | 100% |
| Corporate Director | Jul 15, 1987 | ||
| W-2 Managing Employee | Jul 15, 1987 |
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Community Based Hospice Care Agency
- Manitowoc, WI
- NPI 1992891758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269388800000",
"number": "1508965328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 WASHINGTON ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542205207",
"telephone_number": "920-684-7155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 WASHINGTON ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542205207",
"telephone_number": "920-684-7155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMECARE HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2010-03-24",
"status": "A",
"authorized_official_last_name": "SEIDL-BABCOCK",
"authorized_official_first_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-684-7155"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "WI",
"license": "1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.