Active NPI
Vida Home Care Wisconsin Inc.
- Adult Care Home Facility
- Greenfield, WI
National Provider Identifier
1538052287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.