Fond Du Lac County

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

54 Issued in WI

Legal business name

FOND DU LAC COUNTY

Practice address

160 S Macy St
Fond Du Lac, WI 54935-4241

Phone

(920) 929-3085

Fax

(920) 929-3102

NPI assigned

Feb 2, 2006

Organization subpart

No

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

Authorized official

Name

Kimberly Mueller, RN, MSN

Title

Fond Du Lac County Health Officer

Phone

(920) 929-3085

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• FOND DU LAC COUNTY HOME HEALTH Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Fond Du Lac County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fond Du Lac, WI
  • NPI 1053458935

  Member Of

  NPD member

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1679545917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S MACY ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354241",
            "telephone_number": "920-929-3085",
            "fax_number": "920-929-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S MACY ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354241",
            "telephone_number": "920-929-3085",
            "fax_number": "920-929-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOND DU LAC COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "FOND DU LAC COUNTY HEALTH OFFICER",
        "authorized_official_telephone_number": "920-929-3085",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "54",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41522200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA-LEXINGTON",
            "identifier": "168758245450",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOND DU LAC COUNTY HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fond Du Lac County
• Fond Du Lac County
• Fond Du Lac County
• Fond Du Lac County
• Fond Du Lac County
• Fond Du Lac County DCP Case Management
• Fond Du Lac County DCP CCS Program
• Fond Du Lac County DCP Crisis (Non-Billable)
• Fond Du Lac County DCP Crisis Intervention
• Fond Du Lac County Department of Senior Services

• Home Health Agency in Fond Du Lac, WI
• Providers in Fond Du Lac, 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 Feb 21, 2013; 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.