Organization Active NPI

Visiting Nurse Association of Wisconsin, Inc.

Doing business as Aurora at Home

  • Home Infusion Therapy Pharmacy
  • Green Bay, WI
National Provider Identifier
1881884765
Registry record updated Jun 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
VISITING NURSE ASSOCIATION OF WISCONSIN, INC.
Doing business as
Aurora at Home
Practice address
931 Discovery Rd
Green Bay, WI 54311-8002
Phone
(920) 288-5100
NPI assigned
Jul 27, 2007
Last updated
Jun 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2017

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

Authorized official

Name
Mr. Ramon C Darcey
Title
President
Phone
(414) 328-4490

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Home Infusion Therapy Pharmacy 3336H0001X NU Primary

Addresses

Primary practice location

931 Discovery Rd
Green Bay, WI 54311-8002

Mailing address

931 Discovery Rd
Green Bay, WI 54311-8002
Phone (920) 288-5100

Other identifiers 2

IdentifierTypeStateIssuer
36221700MedicaidWI
5130276OtherNCPDP

Other names 1

  • Aurora at Home Doing business as

National Provider Directory

National Provider Directory

Locations

931 Discovery Rd
Green Bay, WI 54311
Phone (920) 288-5100

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497830400000",
    "number": "1881884765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 DISCOVERY RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118002",
            "telephone_number": "920-288-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 DISCOVERY RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118002",
            "telephone_number": "920-288-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE ASSOCIATION OF WISCONSIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2017-06-19",
        "status": "A",
        "authorized_official_last_name": "DARCEY",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-328-4490",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36221700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5130276",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurora at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; 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.