Active NPI
Aurora Community Health Inc
- Home Health Aide
- Menomonie, WI
National Provider Identifier
1740342187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 310
- Legal business name
- AURORA COMMUNITY HEALTH INC
- Practice address
- 406 Technology Dr E Ste B
Menomonie, WI 54751-2768 - Phone
- (715) 235-4667
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Avis Wolske-Baker
- Title
- Cao
- Phone
- (715) 235-1839
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 310 | WI | Primary |
Addresses
Primary practice location
406 Technology Dr E Ste B
Menomonie, WI 54751-2768
Mailing address
406 Technology Dr E Ste B
Menomonie, WI 54751-2768
Phone (715) 235-4667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43106900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070129000719 | WI | Part A Provider - Home Health Agency | 7416958830 | Practice locations: Menomonie, WI |
Home health agency certification: CCN 527261
- Legal name
- AURORA COMMUNITY HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 19, 1996
- Last certification
- Sep 15, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jan 1, 1997 in WI
- Enrollment address
- 406 Technology Dr E
Ste B
Menomonie, WI 54751-2768
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Aurora Community Health
- Ownership
- Proprietary
- Certified
- Sep 19, 1996
- Medicare certification status
- Active
- Services
- Nursing, Home health aide
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0903281 | Aurora Community Health | Certificate of waiver | Jul 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
3375 Kothlow Ave
Ste 5
Menomonie, WI 54751
Phone (715) 235-3707
Ownership & related parties
All disclosed owners & managing parties 7
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Aurora Community Services Inc Employee Stock Ownership Plan | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 82.08% |
| Candace a Kapperman-Wolf | W-2 Managing Employee | Jun 30, 2009 | |
| James Neuman | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 8.96% |
| Corporate Officer | Jan 1, 2010 | ||
| Aurora Community Services Inc | 5% Or Greater Direct Ownership Interest | Jan 1, 2010 | 100% |
| David Barnard | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 8.96% |
| Corporate Officer | Jan 1, 2010 | ||
| Donald R Andresen | Corporate Director | Sep 22, 2009 | |
| Steven Lauer | W-2 Managing Employee | Dec 4, 2023 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252368000000",
"number": "1740342187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 TECHNOLOGY DR E STE B",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "547512768",
"telephone_number": "715-235-4667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 TECHNOLOGY DR E STE B",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "547512768",
"telephone_number": "715-235-4667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURORA COMMUNITY HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2009-09-08",
"status": "A",
"authorized_official_last_name": "WOLSKE-BAKER",
"authorized_official_first_name": "AVIS",
"authorized_official_title_or_position": "CAO",
"authorized_official_telephone_number": "715-235-1839"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": "WI",
"license": "310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43106900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Menomonie, WI
- Arbor Place, Inc.
- Jennifer Linn Arcand, BSW
- Steven Michael Ashmore, LPC SAC
- Asian Home Health Care Inc.
- Aspire Behavioral Health Services LLC
- Aurora Counseling Centers Employee Support Systems, Inc.
- Aurora Residential Alternatives, Inc
- Aurora Vocational Services, LLC
- Kami Marie Ayres, L.C.S.W
- Chad Bahr, CSAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.