Organization Active NPI

In Home Health, LLC

  • Community Based Hospice Care Agency
  • Eau Claire, WI
National Provider Identifier
1710692488
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
IN HOME HEALTH, LLC
Practice address
3410 Oakwood Mall Dr Ste 400
Eau Claire, WI 54701-2608
Phone
(715) 214-2485
NPI assigned
Jan 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Martin D Allen
Title
Director
Phone
(419) 252-5734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

3410 Oakwood Mall Dr Ste 400
Eau Claire, WI 54701-2608

Mailing address

333 N Summit St
Toledo, OH 43604-1531
Phone (567) 585-1191

Other identifiers 1

IdentifierTypeStateIssuer
1134173446MedicaidWI

Other names 1

  • ProMedica Hospice (Eau Claire) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Member of 1

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

Locations (25 of 88)

75 W Calle de las Tiendas
Ste 105B
Green Valley, AZ 85614
Phone (520) 625-4368

1661 E Camelback Rd
Phoenix, AZ 85016
Phone (480) 991-3303

2980 N Campbell Ave
#190B
Tucson, AZ 85719
Phone (520) 325-2790

1575 Old Bayshore Hwy
Ste 200
Burlingame, CA 94010
Phone (408) 512-4642

1070 Concord Ave
Ste 270
Concord, CA 94520
Phone (925) 674-8660

2511 Garden Rd
Ste B200
Monterey, CA 93940
Phone (831) 373-8442

725 W Town and Country Rd
Ste 140
Orange, CA 92868
Phone (714) 558-2377

951 Mariners Island Blvd
#362
San Mateo, CA 94404
Phone (408) 450-7850

1050 Northgate Dr
Ste 300
San Rafael, CA 94903
Phone (415) 472-2637

2455 Bennett Valley Rd
Ste B214
Santa Rosa, CA 95404
Phone (707) 523-0111

3700 Old Redwood Hwy
Ste 103
Santa Rosa, CA 95403
Phone (707) 523-0111

1000 Lakes Dr
Ste 200
West Covina, CA 91790
Phone (626) 918-2737

2655 W Midway Blvd
Ste 335
Broomfield, CO 80020
Phone (303) 926-1001

2655 W Midway Blvd
Broomfield, CO 80020
Phone (303) 926-1001

1221 S Clarkson St
Ste 200
Denver, CO 80210
Phone (303) 765-2189

1455 Dixon Ave
Ste 120
Lafayette, CO 80026
Phone (303) 926-1001

267 E Main St
Newark, DE 19711
Phone (302) 455-1500

13650 Metropolis Ave
Ste 105
Fort Myers, FL 33912
Phone (239) 415-1454

4900 Ivey Rd NW
Ste 825
Acworth, GA 30101
Phone (770) 382-0721

330 Research Dr
Ste 130
Athens, GA 30605
Phone (706) 369-0917

2951 Flowers Rd S
Ste 211
Atlanta, GA 30341
Phone (770) 325-1139

208 Pitcarin Way
#A
Augusta, GA 30909
Phone (706) 860-7374

2700 Parkwood Dr
#B
Brunswick, GA 31520
Phone (912) 262-8760

122 Scranton Connector
Ste 112
Brunswick, GA 31525
Phone (912) 261-8760

9 Medical Dr NE
Cartersville, GA 30121
Phone (470) 227-1600

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Nov 1, 2023 Change of OwnershipThis provider was the seller Heartland Hospice (Eau Claire)CCN 521618, WI, NPI 1235839929

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1710692488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531",
            "telephone_number": "567-585-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 OAKWOOD MALL DR STE 400",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547012608",
            "telephone_number": "715-214-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134173446",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Hospice (Eau Claire)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.