Organization Active NPI

Ministry Home Care Services, LLC

  • Home Infusion Therapy Pharmacy
  • Oak Creek, WI
National Provider Identifier
1699722124
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
8335 Issued in WI
Legal business name
MINISTRY HOME CARE SERVICES, LLC
Practice address
10050 S 27TH St Ste 100
Oak Creek, WI 53154-5520
Phone
(800) 648-8055
Fax
(414) 563-0600
NPI assigned
May 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Mr. Russell Adkins
Title
SVP, Chief Legal Officer
Phone
(615) 309-5668

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Infusion Agency 251F00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 8335 WI
Pharmacy 333600000X 8335 WI
Community/Retail Pharmacy 3336C0003X 8335 WI
Community/Retail Pharmacy 3336C0003X
Home Infusion Therapy Pharmacy 3336H0001X 8335 WI Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

10050 S 27TH St Ste 100
Oak Creek, WI 53154-5520

Mailing address

10050 S 27TH St Ste 100
Oak Creek, WI 53154-5520
Phone (800) 648-8055

Other identifiers 3

IdentifierTypeStateIssuer
33247600MedicaidWI
5126568OtherNCPDP
8335OtherWIRX LICENSE

Other names 1

  • Ascension at Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061024000310 WI Part B Supplier - Other 2365449964 1 other NPI on this enrollment
Practice locations: Marshfield, WI; Neenah, WI
O20100930058594 WI DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 2365449964 Practice locations: Oak Creek, WI

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ministry Home Care Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Member of 2

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

Locations

33609 Treasury Ctr
Chicago, IL 60694

2074 American Dr
Ste A
Neenah, WI 54956
Phone (920) 735-8100

10050 S 27th St
Ste 100
Oak Creek, WI 53154
Phone (414) 563-0510

2501 Main St
Ste B
Stevens Point, WI 54481

NPI Registry JSON

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

{
    "created_epoch": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1699722124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 S 27TH ST STE 100",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531545520",
            "telephone_number": "800-648-8055",
            "fax_number": "414-563-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 S 27TH ST STE 100",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531545520",
            "telephone_number": "800-648-8055",
            "fax_number": "414-563-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINISTRY HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "SVP, CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "615-309-5668",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "WI",
            "license": "8335",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "8335",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "8335",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "WI",
            "license": "8335",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33247600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5126568",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RX LICENSE",
            "identifier": "8335",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.