Home Again Adult Family Home Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

HOME AGAIN ADULT FAMILY HOME INC

Practice address

18706 County Highway Q
Bloomer, WI 54724-4621

Phone

(715) 559-9830

NPI assigned

Feb 21, 2023

Last updated

Feb 21, 2023By 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

Jason M Benson

Title

Vice President

Phone

(715) 559-9830

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1649978479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18706 COUNTY HIGHWAY Q",
            "city": "BLOOMER",
            "state": "WI",
            "postal_code": "547244621",
            "telephone_number": "715-559-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18706 COUNTY HIGHWAY Q",
            "city": "BLOOMER",
            "state": "WI",
            "postal_code": "547244621",
            "telephone_number": "715-559-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME AGAIN ADULT FAMILY HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "715-559-9830"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Johnathan Holman, PTA
• Barbara Hrdlicka
• Janelle Hutter, MSLP
• David J Irwin, DDS
• Elise Johnson, OTR
• Jenna Johnson, PTA

• Adult Care Home Facility in Bloomer, WI
• Providers in Bloomer, WI by specialty
• Adult Care Home Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.