Norline Healthcare, Inc

Key facts

NPI

1912665779

Entity type

Organization (NPI type 2)

Primary specialty

Home Health Agency 251E00000X

Legal business name

NORLINE HEALTHCARE, INC

Practice address

W227N16841 Tillie Lake CT
Jackson, WI 53037-9000

Phone

(262) 677-9200

NPI assigned

Nov 29, 2021

Organization subpart

No

Authorized official

Name

Jeffery S Jaworski

Title

Vice President

Phone

(262) 677-9200

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• BRIGHTSTAR WEST BEND Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 17, 2023.

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1912665779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W227N16857 TILLIE LAKE CT",
            "city": "JACKSON",
            "state": "WI",
            "postal_code": "530379000",
            "telephone_number": "262-677-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W227N16841 TILLIE LAKE CT",
            "city": "JACKSON",
            "state": "WI",
            "postal_code": "530379000",
            "telephone_number": "262-677-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORLINE HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "JAWORSKI",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "262-677-9200"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "52D2025813",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHTSTAR WEST BEND",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BRIGHTSTAR WEST BEND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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