NPIMap

Organization Active NPI

Professional Home Care Providers

  • Preferred Provider Organization
  • Pleasant Prairie, WI
National Provider Identifier
1639446172
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
307458-31 Issued in WI
Legal business name
PROFESSIONAL HOME CARE PROVIDERS
Practice address
10152 8TH Ave
Pleasant Prairie, WI 53158-5413
Phone
(262) 942-8484
NPI assigned
Nov 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Anzhela Andreichyk, VENT CERTIFIEDNPI 1548530942
Title
LPN
Phone
(262) 942-8484

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
Preferred Provider Organization 305R00000X 307458-31 WI Primary

Addresses

Primary practice location

10152 8TH Ave
Pleasant Prairie, WI 53158-5413

Mailing address

10152 8TH Ave
Pleasant Prairie, WI 53158
Phone (262) 942-8484

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.

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1639446172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10152 8TH AVE",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "53158",
            "telephone_number": "262-942-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10152 8TH AVE",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531585413",
            "telephone_number": "262-942-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME CARE PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "ANDREICHYK",
        "authorized_official_first_name": "ANZHELA",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "262-942-8484",
        "authorized_official_credential": "VENT CERTIFIED"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WI",
            "license": "307458-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.