Organization Active NPI

Respitecare-Care in the Home, Inc

Doing business as Care in the Home Wisconsin

  • Home Health Agency
  • Pleasant Prairie, WI
National Provider Identifier
1558733097
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RESPITECARE-CARE IN THE HOME, INC
Doing business as
Care in the Home Wisconsin
Practice address
10505 Corporate Dr
Suite 102
Pleasant Prairie, WI 53158-1605
Phone
(262) 857-3705
Fax
(262) 857-2688
NPI assigned
Oct 23, 2015
Last updated
Jul 23, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
RESPITECARE-CARE IN THE HOME, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Mrs. Tracy Kelly
Title
President/Administrator
Phone
(847) 256-1705

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X WI Primary
Home Infusion Agency 251F00000X WI
Nursing Care Agency 251J00000X WI

Addresses

Primary practice location

10505 Corporate Dr
Suite 102
Pleasant Prairie, WI 53158-1605

Mailing address

1926 Waukegan Rd Ste 2
Glenview, IL 60025-1770
Phone (847) 256-1705

Other names 1

  • Care in the Home Wisconsin Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160510001415 WI Part A Provider - Home Health Agency 8123162948 Practice locations: Pleasant Prairie, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558733097. Details of each certification follow.

Home health agency certification: CCN 527326

Legal name
RESPITE CARE-CARE IN THE HOME INC
Doing business as
CARE IN THE HOME WISCONSIN
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 12, 2016
Last certification
Oct 12, 2016
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
10505 Corporate Drive
Suite 102
Pleasant Prairie, WI 53158-1604

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Care in the Home WisconsinCCN 527326 · All quality measures
Ownership
Proprietary
Certified
Oct 12, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2101804Care in the Home Wisconsin10505 Corporate Dr, Ste 102, Pleasant Prairie, WI 53158Certificate of waiverSep 9, 2027

National Provider Directory

National Provider Directory
Part of
Respitecare-Care in the Home Inc

Locations

1926 Waukegan Rd
Ste 2
Glenview, IL 60025
Phone (847) 256-1705

1200 Central Ave
#200
Wilmette, IL 60091
Phone (847) 256-1705

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tracy L Kelly Individual 5% Or Greater Direct Ownership Interest Aug 31, 2021 100%
Corporate OfficerPresident and Treasurer Aug 31, 2021
Corporate DirectorPresident and Treasurer Aug 31, 2021
W-2 Managing EmployeePresident and Treasurer Aug 31, 2021
Operational/Managerial ControlPresident and Treasurer Aug 31, 2021
Respite Care-Care in the Home Inc Organization, Wilmette, IL 5% Or Greater Direct Ownership Interest Jul 1, 2009
Shuk June Mah Individual Corporate OfficerChief Financial Officer Jul 13, 2015

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Care in the Home Health ServicesWilmette, IL, CCN 147719 Home health agency 5% Or Greater Direct Ownership Interest Jul 1, 2009

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & 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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1558733097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 WAUKEGAN RD STE 2",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251770",
            "telephone_number": "847-256-1705",
            "fax_number": "847-256-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10505 CORPORATE DR",
            "address_2": "SUITE 102",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531581605",
            "telephone_number": "262-857-3705",
            "fax_number": "262-857-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESPITECARE-CARE IN THE HOME, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESPITECARE-CARE IN THE HOME, INC",
        "enumeration_date": "2015-10-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "847-256-1705",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "WI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care in the Home Wisconsin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Care in the Home Wisconsin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant Prairie, WI

Sources for this page

Verify at the official NPI Registry.