Organization Active NPI

Aurora Community Health Inc

  • Home Health Aide
  • Menomonie, WI
National Provider Identifier
1740342187
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
310 Issued in WI
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

Updated by the provider on Sep 8, 2009

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)CodeLicenseStatePrimary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
43106900MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Jan 1, 1997 in WI
Enrollment address
406 Technology Dr E
Ste B
Menomonie, WI 54751-2768
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aurora Community HealthCCN 527261
Ownership
Proprietary
Certified
Sep 19, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0903281Aurora Community Health406 Technology Drive E Suite B, Menomonie, WI 54751Certificate of waiverJul 17, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Aurora Community Services Inc Employee Stock Ownership Plan Organization, Menomonie, WI 5% Or Greater Indirect Ownership Interest Jan 1, 2010 82.08%
Candace a Kapperman-Wolf Individual W-2 Managing EmployeeAd; Jun 30, 2009
James Neuman Individual 5% Or Greater Indirect Ownership InterestBoard Member Jan 1, 2010 8.96%
Corporate OfficerBoard Member Jan 1, 2010
Aurora Community Services Inc Organization, Menomonie, WI Corporation 5% Or Greater Direct Ownership Interest Jan 1, 2010 100%
David Barnard Individual 5% Or Greater Indirect Ownership InterestBoard of Director Jan 1, 2010 8.96%
Corporate Officer Jan 1, 2010
Donald R Andresen Individual Corporate DirectorCao Sep 22, 2009
Steven Lauer Individual W-2 Managing EmployeeSubstitute Administrator 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

Sources for this page

Verify at the official NPI Registry.