Organization Active NPI

PA Smith LLC

Doing business as Visiting Angels Fort Atkinson

  • In Home Supportive Care Agency
  • Fort Atkinson, WI
National Provider Identifier
1629824982
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PA SMITH LLC
Doing business as
Visiting Angels Fort Atkinson
Practice address
1001 Madison Ave Ste C
Fort Atkinson, WI 53538-1098
Phone
(920) 655-4891
NPI assigned
Apr 27, 2024
Last updated
Apr 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2024

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

Authorized official

Name
Allison M Smith, NPNPI 1427692722
Title
Owner
Phone
(920) 655-4891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1001 Madison Ave Ste C
Fort Atkinson, WI 53538-1098

Mailing address

1001 Madison Ave Ste C
Fort Atkinson, WI 53538-1098

Other names 1

  • Visiting Angels Fort Atkinson Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714176000000",
    "number": "1629824982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MADISON AVE STE C",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MADISON AVE STE C",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381098",
            "telephone_number": "920-655-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA SMITH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-27",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-655-4891",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels Fort Atkinson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Atkinson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; 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.