Peter D Heimdahl II

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

2424 Monetary Blvd Ste 12
Hudson, WI 54016-8736

Phone

(617) 785-6141

NPI assigned

Jan 7, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aesir LLC

  • In Home Supportive Care Agency
  • Hudson, WI
  • NPI 1497325526
  NPD Authorized official

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1689262446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 ALEX LN",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167961",
            "telephone_number": "617-785-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 MONETARY BLVD STE 12",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168736",
            "telephone_number": "617-785-6141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "871 Alex Ln",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540167961",
            "country_code": "US",
            "telephone_number": "617-785-6141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIMDAHL",
        "first_name": "PETER",
        "middle_name": "D",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthmax Chiropractic of Hudson, LLC
• Heartwood Holistic Counseling
• Priscilla Ann Hedberg, M.D.
• Joan Heebink, PTA
• Allison B. Heeter-Condon, MA, LMFT
• Megan Proffitt Hejny, DC
• Adrianna Heldman
• Hannah Helgeson
• Jacquelyn Michelle Helmen, B.S.N., R.N./RCS
• Kevin D Helmen, MD

• In Home Supportive Care Agency in Hudson, WI
• Providers in Hudson, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.