Personalized Plus Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1121 Issued in WI

Legal business name

PERSONALIZED PLUS HOME HEALTH CARE, LLC

Practice address

7402 W Derby PL
Milwaukee, WI 53218-4742

Phone

(888) 818-0515

Fax

(888) 818-0515

NPI assigned

Aug 11, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Sia Xiong-Vang, RN

Title

Administrator

Phone

(888) 818-0515

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Home health agency certification: CCN 527315

Legal name

PERSONALIZED PLUS HOME HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 22, 2011

Last certification

Feb 23, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Aug 29, 2007 in WI

Enrollment address

7402 W Derby PL
Ste a
Milwaukee, WI 53218-4742

Listed as

Personalized Plus Home Health CareCCN 527315

Ownership

Proprietary

Certified

Sep 22, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

All disclosed owners & managing parties 3

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

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1669787966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 W DERBY PL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184742",
            "telephone_number": "888-818-0515",
            "fax_number": "888-818-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 W DERBY PL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184742",
            "telephone_number": "888-818-0515",
            "fax_number": "888-818-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED PLUS HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "XIONG-VANG",
        "authorized_official_first_name": "SIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "888-818-0515",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "1121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Alan Persike Jr., COTA
• Melissa Persinger
• Anne Ania Person, NP, APNP
• Personal Care Partners
• Personal Choice Afh LLC
• Andrea Pertl, DNP, APRN, FNP-C
• Kathryn Perz, APNP
• Robert Perzigian, D.O.
• Kristen Pesature, LPC-IT
• Amy Leigh Pesch, NP

• Home Health Agency in Milwaukee, WI
• Providers in Milwaukee, 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 Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.