Organization Active NPI

Vida Home Care Wisconsin Inc.

  • Adult Care Home Facility
  • Greenfield, WI
National Provider Identifier
1538052287
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
VIDA HOME CARE WISCONSIN INC.
Practice address
7313 W Squire Ave
Greenfield, WI 53220-4327
Phone
(414) 208-4404
NPI assigned
Jun 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Dawn Perez Maldonado
Title
Owner Member
Phone
(414) 208-4404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

7313 W Squire Ave
Greenfield, WI 53220-4327

Mailing address

7313 W Squire Ave
Greenfield, WI 53220-4327
Phone (414) 208-4404

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1538052287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7313 W SQUIRE AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204327",
            "telephone_number": "414-208-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7313 W SQUIRE AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204327",
            "telephone_number": "414-208-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA HOME CARE WISCONSIN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-01",
        "status": "A",
        "authorized_official_last_name": "PEREZ MALDONADO",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER MEMBER",
        "authorized_official_telephone_number": "414-208-4404"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.