Therapeutic Healing Personal Care Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

THERAPEUTIC HEALING PERSONAL CARE AGENCY LLC

Practice address

11431 N Port Washington Rd Ste 211
Mequon, WI 53092-3462

Phone

(414) 433-6055

Fax

(414) 435-9514

NPI assigned

Mar 14, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Josephine Scott

Title

Owner

Phone

(414) 433-6055

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1851092001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11431 N PORT WASHINGTON RD STE 211",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923462",
            "telephone_number": "414-433-6055",
            "fax_number": "414-435-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11431 N PORT WASHINGTON RD STE 211",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923462",
            "telephone_number": "414-433-6055",
            "fax_number": "414-435-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC HEALING PERSONAL CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-433-6055",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100165867",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Mequon, WI
• Providers in Mequon, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.