Organization Active NPI

Age at Home LLC

  • In Home Supportive Care Agency
  • Fitchburg, WI
National Provider Identifier
1770253171
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AGE AT HOME LLC
Practice address
5395 E Cheryl Pkwy
Fitchburg, WI 53711-5395
Phone
(608) 276-4600
NPI assigned
Sep 16, 2021
Last updated
Sep 16, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
AGRACE HOSPICECARE, INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Ms. Lynne Sexten
Title
Ceo
Phone
(608) 276-4660

Specialties & licenses 1

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

Addresses

Primary practice location

5395 E Cheryl Pkwy
Fitchburg, WI 53711-5395

Mailing address

5395 E Cheryl Pkwy
Fitchburg, WI 53711-5395
Phone (608) 276-4660

National Provider Directory

National Provider Directory
Part of
Hospicecare Inc

Locations

5395 E Cheryl Pkwy
Fitchburg, WI 53711
Phone (608) 276-4660

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1770253171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5395 E CHERYL PKWY",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115395",
            "telephone_number": "608-276-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5395 E CHERYL PKWY",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115395",
            "telephone_number": "608-276-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGE AT HOME LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGRACE HOSPICECARE, INCORPORATED",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "SEXTEN",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-276-4660",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.