Organization Active NPI

Vanguard Home Health Services LLC

  • Home Health Agency
  • Wauwatosa, WI
National Provider Identifier
1912371360
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VANGUARD HOME HEALTH SERVICES LLC
Practice address
1033 N Mayfair Rd Ste 300
Wauwatosa, WI 53226-3442
Phone
(414) 216-4516
Fax
(414) 527-1063
NPI assigned
Nov 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Authorized official

Name
Angelique GrayNPI 1760710560
Title
Administration
Phone
(414) 216-4516

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1033 N Mayfair Rd Ste 300
Wauwatosa, WI 53226-3442

Mailing address

9310 N 107TH St
Milwaukee, WI 53224-1121
Phone (414) 216-4516

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Wauwatosa Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1912371360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 N 107TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532241121",
            "telephone_number": "414-216-4516",
            "fax_number": "414-527-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 N MAYFAIR RD STE 300",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263442",
            "telephone_number": "414-216-4516",
            "fax_number": "414-527-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "ANGELIQUE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "414-216-4516"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Wauwatosa",
            "affiliation": "N",
            "endpointDescription": "Main Locatiom",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1033 N Mayfair Rd Ste 300",
            "city": "Wauwatosa",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532263442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.