Tricounty Homecare Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

TRICOUNTY HOMECARE INC

Doing business as

Visiting Angels

Practice address

140 Corporate Dr Ste 2
Beaver Dam, WI 53916

Phone

(920) 644-0439

NPI assigned

Jun 15, 2017

Last updated

Jun 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Thompson Jr.

Title

Director of Operations

Phone

(920) 644-0439

Specialties & licenses 1

Addresses

Other names 1

• Visiting Angels Doing business as

Locations

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1902336597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 CORPORATE DR STE 2",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539161281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CORPORATE DR STE 2",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "53916",
            "telephone_number": "920-644-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICOUNTY HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "920-644-0439",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Marie Thuli, LMFT
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• University of Wisconsin Medical Foundation Inc

• In Home Supportive Care Agency in Beaver Dam, WI
• Providers in Beaver Dam, 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 15, 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.