Active NPI
Concord Holding LLC
- Home Health Agency
- Mequon, WI
National Provider Identifier
1881573368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CONCORD HOLDING LLC
- Practice address
- 11512 N Port Washington Rd Ste 200
Mequon, WI 53092-3481 - Phone
- (414) 899-2365
- NPI assigned
- Aug 29, 2025
- Last updated
- Aug 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tatyana Babakhanov
- Title
- Owner
- Phone
- (414) 899-2365
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
11512 N Port Washington Rd Ste 200
Mequon, WI 53092-3481
Mailing address
7080 W. Creekside CT.
Mequon, WI 53092
Phone (414) 745-8250
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756425600000",
"number": "1881573368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7080 W. CREEKSIDE CT.",
"city": "MEQUON",
"state": "WI",
"postal_code": "53092",
"telephone_number": "414-745-8250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11512 N PORT WASHINGTON RD STE 200",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923481",
"telephone_number": "414-899-2365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCORD HOLDING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-29",
"last_updated": "2025-08-29",
"certification_date": "2025-08-21",
"status": "A",
"authorized_official_last_name": "BABAKHANOV",
"authorized_official_first_name": "TATYANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-899-2365"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mequon, WI
- Columbia St Mary's Hospital Ozaukee, Inc. (Ascension Columbia St Mary's Hospital Ozaukee)
- Columbia St. Mary's Hospital Milwaukee Inc (Ascension Columbia St Mary's Hospital Ozaukee)
- Columbia St. Mary's Hospital Milwaukee, Inc (Ascension Columbia St Mary's Hospital Milwaukee)
- Elona Como, PA
- Comprehensive Dental Services LTD
- Concordia University, Inc (CUW Sports Medicine)
- Debra Greenspan Conley, PA-C
- Sara Connemara, MS, CCC-SLP
- Michael John Connolly, M.D.
- Continence & Pelvic Wellness Clinic SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.