Pederson Homecare LLC Bda Visiting Angels

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PEDERSON HOMECARE LLC BDA VISITING ANGELS

Practice address

7761 W Ryan Rd
210
Franklin, WI 53132-9520

Phone

(414) 525-4881

Fax

(414) 525-4882

NPI assigned

Oct 26, 2016

Organization subpart

No

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

Authorized official

Name

Debra Pederson

Title

Director

Phone

(414) 525-4881

Specialties & licenses 1

Addresses

Other names 1

• Visiting Angels Doing business as

Locations

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1609328699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7761 W. RYAN ROAD",
            "address_2": "210",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "53132",
            "telephone_number": "414-525-4881",
            "fax_number": "414-525-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7761 W RYAN RD",
            "address_2": "210",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329520",
            "telephone_number": "414-525-4881",
            "fax_number": "414-525-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDERSON HOMECARE LLC BDA VISITING ANGELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "PEDERSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-525-4881"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arlena Patton, NP
• Eric Paul
• Aaron Pavelski, DDS
• Kristen Pawlak, LCSW
• Lauren Marie Pawlowski, DPT
• Pediatric Diagnostic Imaging, S.C.
• Eric Pelky
• Katherine Theresa Pellino, MD
• Debra Marie Pendergast, NP
• Joann M Pennington, P.A.

• In Home Supportive Care Agency in Franklin, WI
• Providers in Franklin, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.