My Home Sweet Home

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MY HOME SWEET HOME

Practice address

209 Brandon St
Waupun, WI 53963-1303

Phone

(786) 298-3692

NPI assigned

Oct 15, 2021

Organization subpart

No

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

Authorized official

Name

Angela Clark

Title

Owner

Phone

(786) 298-3692

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1659034858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BRANDON ST",
            "city": "WAUPUN",
            "state": "WI",
            "postal_code": "539631303",
            "telephone_number": "862-983-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 BRANDON ST",
            "city": "WAUPUN",
            "state": "WI",
            "postal_code": "539631303",
            "telephone_number": "786-298-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HOME SWEET HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-298-3692"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariano L. Rosales Jr., M.D. S.C.
• Brenda Lee Marquard, LPN
• Richard F McMahon, DO
• Katy E Mentell, PT
• Lori J Miyazato, OTR
• Bre Anna Marie Nagle, MD
• Robert V Nagle, DO
• Eric R Nelson, MD
• Sarah Embjorg Nelson, PHARMD
• New Medical Center, S.C.

• Home Health Agency in Waupun, WI
• Providers in Waupun, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.