NPIMap

Organization Active NPI

La Sante Wisconsin, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Sheboygan, WI
National Provider Identifier
1699109124
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2583-45 Issued in WI
Legal business name
LA SANTE WISCONSIN, INC.
Practice address
1337 N Taylor Dr Ste 103
Sheboygan, WI 53081-3012
Phone
(888) 719-5788
Fax
(855) 837-5265
NPI assigned
Sep 3, 2013
Organization subpart
Yes
Parent organization
LA SANTE WISCONSIN, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Authorized official

Name
Jason Arnold Helgeson
Title
President
Phone
(920) 320-3104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2583-45 WI Primary

Addresses

Primary practice location

1337 N Taylor Dr Ste 103
Sheboygan, WI 53081-3012

Mailing address

PO Box 1415
Green Bay, WI 54305-1415
Phone (920) 465-3000

Other names 1

  • HME Home Medical Doing business as

National Provider Directory

National Provider Directory
Part of
La Sante Wisconsin Inc

Locations

2021 Riverside Dr
Green Bay, WI 54301
Phone (800) 236-2619

1338 N Taylor Dr
#A
Sheboygan, WI 53081

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1699109124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1415",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543051415",
            "telephone_number": "920-465-3000",
            "fax_number": "920-465-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 N TAYLOR DR STE 103",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813012",
            "telephone_number": "888-719-5788",
            "fax_number": "855-837-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA SANTE WISCONSIN, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA SANTE WISCONSIN, INC.",
        "enumeration_date": "2013-09-03",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "HELGESON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-320-3104"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "2583-45",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HME Home Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HME Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.