NPIMap

Organization Active NPI

Commonheart, Inc.

Doing business as CommonHeart Home Health

  • Home Health Agency
  • Waukesha, WI
National Provider Identifier
1629071121
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
134 Issued in WI
Legal business name
COMMONHEART, INC.
Doing business as
CommonHeart Home Health
Practice address
N16W23217 Stone Ridge Dr Ste 350
Waukesha, WI 53188-1171
Phone
(844) 206-4930
Fax
(920) 261-4840
NPI assigned
May 27, 2005
Last updated
Jul 10, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MARQUARDT VILLAGE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Authorized official

Name
Justin Munzel
Title
President
Phone
(920) 328-1029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 134 WI Primary

Addresses

Primary practice location

N16W23217 Stone Ridge Dr Ste 350
Waukesha, WI 53188-1171

Mailing address

N16W23217 Stone Ridge Dr Ste 350
Waukesha, WI 53188-1171
Phone (844) 206-4930

Other identifiers 1

IdentifierTypeStateIssuer
41511400MedicaidWI

Other names 1

  • CommonHeart Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120131000463 WI Part A Provider - Home Health Agency 0749447985 Practice locations: Waukesha, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629071121. Details of each certification follow.

Home health agency certification: CCN 527151

Legal name
COMMONHEART, INC.
Doing business as
COMMONHEART HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 3, 1985
Last certification
Oct 29, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Aug 20, 1998 in WI
Enrollment address
N16W23217 Stone Ridge Dr
Ste 350
Waukesha, WI 53188-1171

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
Commonheart Home HealthCCN 527151 · All quality measures
Overall star rating
2.5 of 5
Ownership
Non-Profit
Certified
May 3, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Commonheart Hospice3 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.

  • Commonheart, Inc.

    dba CommonHeart Home Health

    • Community Based Hospice Care Agency
    • Waukesha, WI
    • NPI 1083652333
    NPD tax ID
  • Commonheart, Inc.

    dba Commonheart Palliative Care

    • Hospice and Palliative Medicine (Family Medicine) Physician
    • Waukesha, WI
    • NPI 1417834565
    NPD tax ID

Locations

N16W23217 Stone Ridge Dr
Ste 350
Waukesha, WI 53188
Phone (844) 206-4930

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Matthew R Mauthe Individual Corporate OfficerCeo May 10, 2010 100%
Operational/Managerial ControlCeo Feb 1, 2012 100%
Todd Fischer Individual Corporate DirectorBoard President Jul 1, 2021 100%
Scott Dettman Individual Corporate OfficerAsst Sec/Asst Treas Nov 29, 2021 100%
Corporate DirectorBoard Member Nov 29, 2021 100%
Kevin Kohlhoff Individual Corporate DirectorBoard Member Jul 1, 2023 100%
Robert Meidenbauer Individual Corporate OfficerSecretary/Treasurer Nov 29, 2021 100%
Corporate DirectorBoard Member Nov 29, 2021 100%
Katie Van Der Linden Individual Corporate DirectorBoard Member Jul 1, 2023 100%
Marquardt Village Inc Organization, Watertown, WI Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2012 100%
Nicole L Chwala Individual Corporate OfficerChief Financial Officer Nov 29, 2021 100%
W-2 Managing Employee Nov 29, 2021 100%
Operational/Managerial Control Nov 29, 2021 100%
Sarah Kuehl Individual Operational/Managerial ControlHome Health Administrator Mar 1, 2023 100%
Steven Heroux Individual Corporate DirectorBoard Member Aug 1, 2024 100%
Justin J Munzel Individual W-2 Managing EmployeeSenior VP of HCBS Jul 1, 2022

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

Affiliated clinicians 109

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

View all 109

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1629071121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N16W23217 STONE RIDGE DR STE 350",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881171",
            "telephone_number": "844-206-4930",
            "fax_number": "920-261-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N16W23217 STONE RIDGE DR STE 350",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881171",
            "telephone_number": "844-206-4930",
            "fax_number": "920-261-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONHEART, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARQUARDT VILLAGE, INC.",
        "enumeration_date": "2005-05-27",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "MUNZEL",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-328-1029"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41511400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CommonHeart Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.