Organization Active NPI

Homestead Independence Inc

Doing business as Access Ability Home Medical & Rehab

  • Durable Medical Equipment & Medical Supplies
  • Cudahy, WI
National Provider Identifier
1780742312
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOMESTEAD INDEPENDENCE INC
Doing business as
Access Ability Home Medical & Rehab
Practice address
1995 E Norse Ave
Cudahy, WI 53110-4835
Phone
(414) 486-6249
Fax
(414) 486-5728
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Authorized official

Name
Mr. Jon F Tevz
Title
President
Phone
(414) 486-6249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1995 E Norse Ave
Cudahy, WI 53110-4835

Mailing address

1995 E Norse Ave
Cudahy, WI 53110-2850
Phone (414) 486-6249

Other identifiers 1

IdentifierTypeStateIssuer
41785700MedicaidWI

Other names 1

  • Access Ability Home Medical & Rehab Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1780742312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 E NORSE AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531102850",
            "telephone_number": "414-486-6249",
            "fax_number": "414-486-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 E NORSE AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531104835",
            "telephone_number": "414-486-6249",
            "fax_number": "414-486-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD INDEPENDENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "TEVZ",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-486-6249",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41785700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Ability Home Medical & Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Access Ability Home Medical & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cudahy, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.