Vang Thao, ADMINISTRATOR

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

100014484 Issued in WI

Practice address

1402 Greenway Cross
Suite 101
Madison, WI 53713-3181

Phone

(608) 251-2273

Fax

(866) 748-3232

NPI assigned

Jun 3, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eternity Homecare, Inc.

  • Nursing Care Agency
  • Madison, WI
  • NPI 1528437498
  NPD (past)

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1770996100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 GREENWAY CROSS",
            "address_2": "SUITE 101",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537133181",
            "telephone_number": "608-251-2273",
            "fax_number": "866-748-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 GREENWAY CROSS",
            "address_2": "SUITE 101",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537133181",
            "telephone_number": "608-251-2273",
            "fax_number": "866-748-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAO",
        "first_name": "VANG",
        "credential": "ADMINISTRATOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "WI",
            "license": "100014484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100014484",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ka Dee Thao
• Lyda Thao, LCSW
• Mai Chou Thao, RN
• Pahoua Thao, BS
• PO Ze Thao
• Kelsey Marie Thatcher, LCSW
• Jonathan Thayer, NP
• The Art of Medicine Naturally, LLC
• The Caregiving Company LLC
• The Center for Behavior Change LLC

• Home Health Aide in Madison, WI
• Providers in Madison, WI by specialty
• Home Health Aide in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.