NPIMap

Organization Active NPI

Thedacare Inc

Doing business as ThedaCare At Home - Flu Clinic

  • Home Health Agency
  • Appleton, WI
National Provider Identifier
1710155254
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
THEDACARE INC
Doing business as
ThedaCare At Home - Flu Clinic
Practice address
3000 E College Ave
Appleton, WI 54915-3251
Phone
(920) 969-0919
NPI assigned
Feb 19, 2008
Last updated
Feb 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Mrs. Cindy Wetzel
Title
Operations Manager
Phone
(920) 969-0919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3000 E College Ave
Appleton, WI 54915-3251

Mailing address

3000 E College Ave
Appleton, WI 54915-3251
Phone (920) 969-0919

Other names 1

  • ThedaCare At Home - Flu Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Novus Laboratories20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1710155254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 E COLLEGE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549153251",
            "telephone_number": "920-969-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 E COLLEGE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549153251",
            "telephone_number": "920-969-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEDACARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "WETZEL",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "920-969-0919",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ThedaCare At Home - Flu Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.