Organization Active NPI

547 Eau Claire Home Care

  • In Home Supportive Care Agency
  • Eau Claire, WI
National Provider Identifier
1578489191
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
547 EAU CLAIRE HOME CARE
Practice address
2607 Beverly Hills Dr
Eau Claire, WI 54701-6727
Phone
(715) 563-5005
NPI assigned
Jun 26, 2026
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Mr. Jeremiah Douglas Phillips Jr.
Title
Owner
Phone
(715) 563-5005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

2607 Beverly Hills Dr
Eau Claire, WI 54701-6727

Mailing address

2607 Beverly Hills Dr
Eau Claire, WI 54701-6727
Phone (715) 563-5005

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1578489191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 BEVERLY HILLS DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016727",
            "telephone_number": "715-563-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 BEVERLY HILLS DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016727",
            "telephone_number": "715-563-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "547 EAU CLAIRE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-26",
        "last_updated": "2026-09-23",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-563-5005",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.