NPIMap

Organization Active NPI

St Vincent Hospital-Hospital Sisters-Third Order of St Francis

Doing business as HSHS Home Care Wisconsin

  • Home Health Agency
  • Green Bay, WI
National Provider Identifier
1679556526
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
35 Issued in WI
Legal business name
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Doing business as
HSHS Home Care Wisconsin
St Vincent Hospital Home Health
Practice address
1726 Shawano Ave
Green Bay, WI 54303-3216
Phone
(920) 433-8287
Fax
(920) 433-8765
NPI assigned
Nov 23, 2005
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCISAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Travis Pitzen
Title
Market Director-Finance Operations
Phone
(920) 431-3047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 35 WI Primary

Addresses

Primary practice location

1726 Shawano Ave
Green Bay, WI 54303-3216

Mailing address

PO Box 13508
Green Bay, WI 54307-3508
Phone (920) 433-8287

Other identifiers 1

IdentifierTypeStateIssuer
41510400MedicaidWI

Other names 2

  • HSHS Home Care Wisconsin Doing business as
  • St Vincent Hospital Home Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stvincent_stmary_stnicholas_stclare@ewd.direct.hshs.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060405000241 WI Part A Provider - Home Health Agency 5799694675 Practice locations: Green Bay, WI; Sheboygan, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679556526. Details of each certification follow.

Home health agency certification: CCN 527132

Legal name
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Doing business as
HSHS HOME CARE WISCONSIN
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 29, 1984
Last certification
Feb 18, 2016
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Sep 5, 1890 in WI
Enrollment address
1727 Shawano Ave
Green Bay, WI 54303-3268
HHA Branch

Other NPIs with the same Medicare PAC ID 15

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

View all 15

Care Compare: Home health agency

Medicare Care Compare
Listed as
HSHS Home Care WisconsinCCN 527132 · All quality measures
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Feb 29, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
52D0670729St Vincent Hospital Home Health Care1726 Shawano Ave, Green Bay, WI 54303Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
St Vincent Hospital Sisters35 organizations share this tax ID, including this one
Part of
St Vincent Hospital Sisters

Other organizations with this tax ID 34

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

View all 34

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Hospital Sisters Health System Inc Organization, Springfield, IL Chain home office Operational/Managerial Control Dec 15, 2014
Dennis Langenberg Individual Corporate DirectorBoard Member Nov 1, 2016
Stephanie L Bakey Individual Corporate DirectorBoard Member Nov 1, 2021
Paula Hafeman Individual Corporate DirectorBoard Member Nov 1, 2021
Marcus Perez Individual Corporate DirectorBoard Member Nov 1, 2022
Maureen Fagan Individual Corporate DirectorBoard Member Nov 1, 2016
Jody Anne Boes Individual Corporate DirectorBoard Member Nov 1, 2021
Hospital Sisters Services Inc Organization, Springfield, IL Non-profit Operational/Managerial Control Nov 4, 1983
Kyle J McCarty Individual Corporate DirectorBoard Member Nov 1, 2022
Nicole Schneider Individual Corporate DirectorBoard Member Nov 1, 2020
John Wagner Individual Corporate OfficerCoo Oct 15, 2022
Corporate DirectorCoo Oct 15, 2022
Damond Williams Boatwright Individual Corporate OfficerPresident/Ceo Jul 19, 2021
Michael Wickman Individual Corporate DirectorBoard Member Nov 1, 2016
Robert Erickson Individual Corporate OfficerPresident/Ceo Apr 29, 2024
Corporate DirectorPresident/Ceo Apr 29, 2024
W-2 Managing EmployeePresident/Ceo Sep 30, 2024
Travis Pitzen Individual Corporate OfficerDirector of Finance Sep 30, 2024
Corporate DirectorDirector of Finance Sep 30, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Door County Medical CenterSturgeon Bay, WI, CCN 521358 Hospital Operational/Managerial Control (40%) Nov 1, 2016
Door County Medical Center Swing BedSturgeon Bay, WI, CCN 52Z358 Hospital Operational/Managerial Control (40%) Nov 1, 2016
Pete and Jelaine Horton CenterSturgeon Bay, WI, CCN 525377 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 28, 2016
Feb 14, 2025
UnityDe Pere, WI, CCN 521503 Hospice 5% Or Greater Direct Ownership Interest (45%)
Limited Partnership Interest (45%)
Operational/Managerial Control (45%)		 Oct 1, 1992
Oct 1, 1992
Oct 1, 1992
Door County Medical Center Sturgeon BaySturgeon Bay, WI, CCN 528531 Rural health clinic Operational/Managerial Control (40%) Nov 1, 2016
Door County Medical Center Sister BaySister Bay, WI, CCN 528532 Rural health clinic Operational/Managerial Control (40%) Nov 1, 2016
Door County Medical Center AlgomaAlgoma, WI, CCN 528530 Rural health clinic Operational/Managerial Control (40%) Nov 1, 2016
Door County Medical Center Washington IslandWashington Island, WI, CCN 528515 Rural health clinic Operational/Managerial Control (40%) Nov 1, 2016
DirectcareSturgeon Bay, WI, CCN 528654 Rural health clinic Operational/Managerial Control (40%) Nov 1, 2016

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 34

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

View all 34

Practitioners & affiliated clinicians

Affiliated clinicians 51

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1679556526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13508",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543073508",
            "telephone_number": "920-433-8287",
            "fax_number": "920-433-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 SHAWANO AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543033216",
            "telephone_number": "920-433-8287",
            "fax_number": "920-433-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS",
        "enumeration_date": "2005-11-23",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "PITZEN",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "MARKET DIRECTOR-FINANCE OPERATIONS",
        "authorized_official_telephone_number": "920-431-3047"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "35",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41510400",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stvincent_stmary_stnicholas_stclare@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1726 Shawano Ave",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543033216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HSHS Home Care Wisconsin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Vincent Hospital Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.