Organization Active NPI

Badgercare Home Health Services, LLC

  • In Home Supportive Care Agency
  • Milwaukee, WI
National Provider Identifier
1801477427
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BADGERCARE HOME HEALTH SERVICES, LLC
Practice address
Liberty 1 Plaza
11414 West Park Place,Suite 202
Milwaukee, WI 53224
Phone
(414) 349-7405
Fax
(888) 849-7405
NPI assigned
Apr 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Rashell M Gladney
Title
Administrator
Phone
(262) 612-3605

Specialties & licenses 1

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

Addresses

Primary practice location

Liberty 1 Plaza
11414 West Park Place,Suite 202
Milwaukee, WI 53224

Mailing address

8117 N Edge O Woods Dr
Brown Deer, WI 53223-3314
Phone (414) 349-7405

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1801477427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8117 N EDGE O WOODS DR",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532233314",
            "telephone_number": "414-349-7405",
            "fax_number": "888-849-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LIBERTY 1 PLAZA",
            "address_2": "11414 WEST PARK PLACE,SUITE 202",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53224",
            "telephone_number": "414-349-7405",
            "fax_number": "888-849-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADGERCARE HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "GLADNEY",
        "authorized_official_first_name": "RASHELL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "262-612-3605"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.