NPIMap

Organization Active NPI

HHA of Wisconsin, LLC

Doing business as Almost Family

  • Home Health Agency
  • Marinette, WI
National Provider Identifier
1659728616
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HHA OF WISCONSIN, LLC
Doing business as
Almost Family
Practice address
3900 Hall Ave
Suite a
Marinette, WI 54143-1062
Phone
(715) 735-6490
Fax
(715) 735-6461
NPI assigned
May 19, 2016
Last updated
Jul 29, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
HHA OF WISCONSIN, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Mr. Nicholas Gachassin III
Title
Executive Vice President
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3900 Hall Ave
Suite a
Marinette, WI 54143-1062

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 223-1307

Other identifiers 2

IdentifierTypeStateIssuer
1659728616MedicaidMI
100061686MedicaidWI

Other names 1

  • Almost Family Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160613002094 WI Part A Provider - Home Health Agency 0547550022 Practice locations: Marinette, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659728616. Details of each certification follow.

Home health agency certification: CCN 527272

Legal name
HHA OF WISCONSIN, LLC
Doing business as
ALMOST FAMILY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 24, 1999
Last certification
Jan 8, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
May 3, 2016 in WI
Enrollment address
3900 Hall Ave
Ste a
Marinette, WI 54143-1062

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Almost FamilyCCN 527272 · All quality measures
Ownership
Proprietary
Certified
May 24, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2116577HHA of Wisconsin, LLC D/B/a Almost Family3900 Hall Ave, Ste a, Marinette, WI 54143Certificate of waiverJul 27, 2028

National Provider Directory

National Provider Directory
Tax ID family
HHA of Wisconsin LLC3 organizations share this tax ID, including this one
Part of
HHA of Wisconsin LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3900 Hall Ave
Ste A
Marinette, WI 54143
Phone (715) 735-6490

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerCfo/Treasurer Feb 22, 2023
Keith G Myers Individual Corporate OfficerCeo Emeritus Feb 22, 2023
Audra Tonn Individual W-2 Managing EmployeeAdministrator Nov 19, 2016
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Aug 1, 2012
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Jun 18, 2016 100%
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Direct Ownership Interest Jun 18, 2016 100%

Facilities with the same owner 111

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

View all 111

Change-of-ownership history 1

DateEventCounterparty
Jun 18, 2016 Change of OwnershipThis provider was the buyer Rescare HomecareCCN 527272, WI, NPI 1053646117

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1659728616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-223-1307",
            "fax_number": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 HALL AVE",
            "address_2": "SUITE A",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541431062",
            "telephone_number": "715-735-6490",
            "fax_number": "715-735-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HHA OF WISCONSIN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HHA OF WISCONSIN, LLC",
        "enumeration_date": "2016-05-19",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659728616",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100061686",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Almost Family",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Almost Family",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marinette, WI

Sources for this page

Verify at the official NPI Registry.