Homeward Bound Home Health, Inc
Organization Active NPI Home Health Agency · Lancaster, WI
NPI 1790869766 · NPPES record last updated May 7, 2025
Key facts
- NPI
- 1790869766
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 330 (WI)
- Legal business name
- HOMEWARD BOUND HOME HEALTH, INC
- Practice address
- 205 W Maple St Ste 2
Lancaster, WI 53813-1642 - Phone
- (608) 723-6601
- Fax
- (608) 723-6616
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Kathryn A Miles, RN
- Title
- Owner/Director
- Phone
- (608) 723-6601
Practitioners 1
Affiliated clinicians 2
-
Samantha R. Erie, PA-C
-
Kelly S Muench, PA-C
Medicare Care Compare: Home health agency
- Listed as
- Homeward Bound Home Health
- Overall star rating
- ★★☆☆☆ 2 of 5
- Ownership
- Proprietary
- Certified
- Nov 25, 1996
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Home health agency certification: CCN 527258
- Legal name
- HOMEWARD BOUND HOME HEALTH, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 25, 1996
- Last certification
- Jan 10, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 205 W Maple St
Ste B
Lancaster, WI 53813-1642
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Kathryn a Miles |
5% Or Greater Direct Ownership Interest |
Dec 31, 2022 | 100% |
| Operational/Managerial Control |
Jan 1, 2019 | 33% | |
| Rita M Schmitz |
Corporate Officer |
Jul 2, 1997 | |
| Corporate Director |
Jul 2, 1997 | ||
| W-2 Managing Employee |
Jul 2, 1997 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100525000024 | WI | Part a Provider - Home Health Agency | 0941339394 | Practice locations: Lancaster, WI; Sauk City, WI |
National Provider Directory
Locations
1360 Jefferson St
Baraboo, WI 53913
205 W Maple St
Ste B
Lancaster, WI 53813
Phone (608) 723-6601
205 W Maple St
Ste 2
Lancaster, WI 53813
Phone (608) 723-6601
130 W Elm St
Lancaster, WI 53813
864 Community Dr
Sauk City, WI 53583
Phone 6087236601 ext. 284
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 330 | WI | Yes |
Addresses
Primary practice location
205 W Maple St Ste 2
Lancaster, WI 53813-1642
Mailing address
130 West Elm Street
P.O. Box 503
Lancaster, WI 53813-0503
Phone (608) 723-6601
Other practice location 1
864 Community Dr
Sauk City, WI 53583-1384
Phone (608) 723-6601 ext. 284
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43108500 | Medicaid | WI |
Other names
- Homeward Bound, Inc
Other providers in Lancaster, WI
- High Point Family Medicine, LLC
- HM Counseling LLC
- Jason R Hollander
- Ashley Holman
- Keane Holzemer
- Erin L Huebschman
- Kelli A Irish
- Eli T. James
- Annette C Jepperson
- Michelle Marie Kane
All providers in Lancaster, WI · Home Health Agency in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.