Jen's Arc Angels, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

JEN'S ARC ANGELS, LLC

Practice address

7 S Main St
Clintonville, WI 54929-1531

Phone

(920) 832-8032

NPI assigned

Jan 27, 2025

Last updated

Jan 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Waterstradt

Title

Owner

Phone

(920) 832-8032

Specialties & licenses 1

Addresses

Other names 1

• Jen's Arc Angels Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Lynn Graichen-Huettl, COTA

  • Occupational Therapy Assistant
  • De Pere, WI
  • NPI 1538436944
  NPD

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1730992637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 193",
            "address_2": "7 S MAIN ST",
            "city": "CLINTONVILLE",
            "state": "WI",
            "postal_code": "54929",
            "telephone_number": "920-832-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S MAIN ST",
            "city": "CLINTONVILLE",
            "state": "WI",
            "postal_code": "549291531",
            "telephone_number": "920-832-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEN'S ARC ANGELS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "WATERSTRADT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-832-8032"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jen's Arc Angels",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cindy Griswold, NP
• Peggy M Hammond
• Susan Hatfield, RN, RCS
• Dana Marie Hintz, LPN
• Cassandra L Hoffman, OTR
• John B. Dewolf, III, D.M.D., S.C. (Clintonville Family Dentistry)
• Karen Agnete Johnson, DDS
• Journey to Self Counseling LLC
• Michael Justman, PT
• Rosemary H Knapp, LPC

• In Home Supportive Care Agency in Clintonville, WI
• Providers in Clintonville, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.