Vista Care Wisconsin Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

VISTA CARE WISCONSIN INC.

Practice address

708 Erie Ave Ste 201
Sheboygan, WI 53081-4060

Phone

(920) 457-0826

Fax

(920) 457-2207

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Timothy A. Frey

Title

President

Phone

(920) 457-0826

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evan Meyer, LPC

  • Professional Counselor
  • Manitowoc, WI
  • NPI 1487420964
  Medicare reassignment NPD
• Kassidy Murphy, LPC

  • Professional Counselor
  • Sheboygan, WI
  • NPI 1801662259
  Medicare reassignment NPD
• Lindsay Connon, LPC

  • Counselor
  • Sheboygan, WI
  • NPI 1811474604
  NPD
• Austin David Lucas, LCSW

  • Clinical Social Worker
  • Manitowoc, WI
  • NPI 1154869212
  NPD

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1902085624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 ERIE AVE STE 201",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814060",
            "telephone_number": "920-457-0826",
            "fax_number": "920-457-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 ERIE AVE STE 201",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814060",
            "telephone_number": "920-457-0826",
            "fax_number": "920-457-2207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1019 N 8th St",
            "address_purpose": "LOCATION",
            "city": "Sheboygan",
            "state": "WI",
            "postal_code": "530814006",
            "country_code": "US",
            "telephone_number": "920-457-0826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISTA CARE WISCONSIN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-457-0826",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "WI",
            "license": "11183",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "WI",
            "license": "9340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vista Care Colorado, LLC
• Vista Care Illinois LLC
• Vista Care Nevada, LLC
• Vista Care South Dakota, LLC
• Vista Care Utah, LLC
• Vituity-Wisconsin Em SC
• Vidhyalakshmy Vivek, MD
• Alan L Vodicka, LMT
• Vogel Therapy Services LLC
• Vop Sheboygan LLC (Dimensions Living Sheboygan II)

• In Home Supportive Care Agency in Sheboygan, WI
• Providers in Sheboygan, 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 Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.