Compassionate Care Home Health Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

153487-30 Issued in WI

Legal business name

COMPASSIONATE CARE HOME HEALTH CARE LLC

Practice address

6051 W Brown Deer Rd
Suite 101
Brown Deer, WI 53223-2263

Phone

(414) 269-8506

Fax

(414) 877-6051

NPI assigned

Sep 27, 2015

Last updated

Jan 1, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wanda Welch

Title

Owner/Administrator

Phone

(414) 326-0503

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1443312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514764800000",
    "number": "1841660396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 W BROWN DEER RD STE 105",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532232263",
            "telephone_number": "414-269-8506",
            "fax_number": "414-877-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 W BROWN DEER RD",
            "address_2": "SUITE 101",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532232263",
            "telephone_number": "414-269-8506",
            "fax_number": "414-877-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-27",
        "last_updated": "2018-01-01",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "414-326-0503"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WI",
            "license": "153487-30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100043185",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Brown Deer, WI
• Providers in Brown Deer, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2018; 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.