Organization Active NPI

WCSC Madison, LLC

  • In Home Supportive Care Agency
  • Monona, WI
National Provider Identifier
1720663149
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WCSC MADISON, LLC
Practice address
1574 W Broadway Ste 101
Monona, WI 53713-1825
Phone
(608) 663-2646
Fax
(608) 663-2645
NPI assigned
Mar 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Authorized official

Name
James Nooyen
Title
Vice President of Finance
Phone
(920) 442-4472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1574 W Broadway Ste 101
Monona, WI 53713-1825

Mailing address

PO Box 28589
Green Bay, WI 54324-0589

Other names 1

  • Home Instead Doing business as

National Provider Directory

National Provider Directory

Locations

1574 W Broadway
Ste 101
Monona, WI 53713
Phone (608) 663-2646

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1720663149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28589",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543240589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1574 W BROADWAY STE 101",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537131825",
            "telephone_number": "608-663-2646",
            "fax_number": "608-663-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WCSC MADISON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "NOOYEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "920-442-4472"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.