NPIMap

Organization Active NPI

Innovo Healthcare, LLC

  • Community Based Hospice Care Agency
  • Eau Claire, WI
National Provider Identifier
1619213444
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
INNOVO HEALTHCARE, LLC
Practice address
4410 Golf Ter Ste 202
Eau Claire, WI 54701-8699
Phone
(715) 377-9617
Fax
(715) 377-9623
NPI assigned
Dec 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Dr. Steven J Alessandro
Title
Owner/Ceo
Phone
(847) 457-1808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

4410 Golf Ter Ste 202
Eau Claire, WI 54701-8699

Mailing address

4410 Golf Ter Ste 202
Eau Claire, WI 54701-8699
Phone (715) 377-9617

Other identifiers 1

IdentifierTypeStateIssuer
100035850MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130219000081 WI Part A Provider - Hospice 0143476572 Practice locations: Eau Claire, WI

Hospice certification: CCN 521597

Legal name
INNOVO HEALTHCARE, LLC
Doing business as
INTERIM HEALTHCARE OF WESTERN WISCONSIN
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 17, 2013
Last certification
Feb 9, 2021
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Incorporated
Apr 27, 2012 in MN
Enrollment address
4410 Golf Ter
Ste 202
Eau Claire, WI 54701-8699

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: Hospice

Medicare Care Compare
Listed as
Interim Healthcare Hospice of Western WisconsinCCN 521597 · All quality measures
Ownership
For-Profit
Certified
Jul 17, 2013
Medicare certification status
ActiveFrom the Provider of Services file

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
52D2054444Innovo Healthcare, LLC4410 Golf Terrace Ste 202, Eau Claire, WI 54701Certificate of waiverFeb 20, 2027

National Provider Directory

National Provider Directory
Tax ID family
Ability Network3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

625 Commerce Dr
Ste 200
Hudson, WI 54016
Phone (715) 377-9617

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
James R Wesner Individual 5% Or Greater Indirect Ownership InterestOwner Nov 30, 2020 45%
Laurie Mayfield Individual W-2 Managing EmployeeAd; Apr 1, 2024 25%
Melinda Merola Individual W-2 Managing EmployeeMD; Aug 4, 2025
Great Lakes Health Partners LLC Organization, Hudson, WI LLC 5% Or Greater Direct Ownership Interest Mar 16, 2020 100%
Preston Lucas Individual 5% Or Greater Indirect Ownership InterestCfo Jul 1, 2025 10%
Corporate OfficerCfo Jul 1, 2025 100%
Steven J Alessandro Individual 5% Or Greater Indirect Ownership InterestChief Executive Officer Nov 30, 2020 45%
Corporate OfficerChief Executive Officer Nov 30, 2020 45%
Operational/Managerial ControlChief Executive Officer Nov 30, 2020 45%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1619213444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 GOLF TER STE 202",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547018699",
            "telephone_number": "715-377-9617",
            "fax_number": "715-377-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 GOLF TER STE 202",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547018699",
            "telephone_number": "715-377-9617",
            "fax_number": "715-377-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVO HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "ALESSANDRO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "847-457-1808",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100035850",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S PRICE RD STEB",
            "city": "BROWNSVILLE",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.