Northern Lights Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NORTHERN LIGHTS SERVICES, INC.

Doing business as

Northern Lights Home Health and Community Services

Practice address

706 Bratley Dr
Washburn, WI 54891-1143

Phone

(715) 373-5621

Fax

(715) 373-5244

NPI assigned

Mar 29, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tamara Jean Deragon

Title

Business Office Manager

Phone

(715) 373-5621

Specialties & licenses 1

Addresses

Other names 1

• NORTHERN LIGHTS HOME HEALTH AND COMMUNITY SERVICES Doing business as

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619096468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 BRATLEY DR",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "548911143",
            "telephone_number": "715-373-5621",
            "fax_number": "715-373-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 BRATLEY DR",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "548911143",
            "telephone_number": "715-373-5621",
            "fax_number": "715-373-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LIGHTS SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DERAGON",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "715-373-5621",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHERN LIGHTS HOME HEALTH AND COMMUNITY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa Sue Nelson, PTA
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• Melissa L Nicoletti, RDH
• Northern Lights Services, Inc. (Northern Lights Health Care Center)
• Naomi Ruth Olson, P.T.A.
• Delora Ann Pufall, PHARMD
• Linda M Ready, MA,LCSW
• Christen Ann Rice, COTA
• Mikayla Janice Ritola, COTA

• Home Health Agency in Washburn, WI
• Providers in Washburn, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.