Organization Active NPI

Together at Home Personal Care Agency LLC

  • In Home Supportive Care Agency
  • West Bend, WI
National Provider Identifier
1881067411
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TOGETHER AT HOME PERSONAL CARE AGENCY LLC
Practice address
301 Barbie Dr
West Bend, WI 53090-1128
Phone
(262) 353-9199
Fax
(888) 965-4099
NPI assigned
Nov 4, 2015
Last updated
Nov 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Authorized official

Name
Tricia Hambly
Title
Owner/Partner
Phone
(262) 353-9199

Specialties & licenses 1

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

Addresses

Primary practice location

301 Barbie Dr
West Bend, WI 53090-1128

Mailing address

301 Barbie Dr
West Bend, WI 53090-1128
Phone (262) 353-9199

Other identifiers 1

IdentifierTypeStateIssuer
100040733MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1881067411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BARBIE DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530901128",
            "telephone_number": "262-353-9199",
            "fax_number": "888-965-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BARBIE DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530901128",
            "telephone_number": "262-353-9199",
            "fax_number": "888-965-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOGETHER AT HOME PERSONAL CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "HAMBLY",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "262-353-9199"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100040733",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.