Organization Active NPI

Home Away From Home Loving Care, LLC

  • Adult Day Care Clinic/Center
  • Rhinelander, WI
National Provider Identifier
1699292490
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
0016647 Issued in WI
Legal business name
HOME AWAY FROM HOME LOVING CARE, LLC
Practice address
1836 N Stevens St
Rhinelander, WI 54501-2161
Phone
(715) 420-2220
Fax
(715) 420-2279
NPI assigned
Aug 23, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Donna Marie Braeger
Title
Owner/Director
Phone
(715) 420-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 0016647 WI Primary

Addresses

Primary practice location

1836 N Stevens St
Rhinelander, WI 54501-2161

Mailing address

1836 N Stevens St
Rhinelander, WI 54501-2161
Phone (715) 420-2220

National Provider Directory

National Provider Directory

Locations

1836 N Stevens St
Rhinelander, WI 54501
Phone (715) 420-2220

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699292490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 N STEVENS ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545012161",
            "telephone_number": "715-420-2220",
            "fax_number": "715-420-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 N STEVENS ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545012161",
            "telephone_number": "715-420-2220",
            "fax_number": "715-420-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME AWAY FROM HOME LOVING CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRAEGER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "715-420-2220",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "WI",
            "license": "0016647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.