Prado Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PRADO HOSPICE LLC

Practice address

6165 N Green Bay Ave
Glendale, WI 53209-3813

Phone

(715) 600-1556

Fax

(715) 575-8078

NPI assigned

Jan 4, 2024

Organization subpart

No

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

Authorized official

Name

Merlin BrownNPI 1053317354

Title

Owner/President

Phone

(715) 600-1556

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Merlin Emery Brown, MD

  • Internal Medicine Physician
  • Edina, MN
  • NPI 1053317354
  NPD Authorized official
• Tanya Sue Wilburn, RN

  • Registered Nurse
  • Janesville, WI
  • NPI 1255844890
  NPD

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1972373652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6165 N GREEN BAY AVE",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532093813",
            "telephone_number": "715-600-1556",
            "fax_number": "715-575-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6165 N GREEN BAY AVE",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532093813",
            "telephone_number": "715-600-1556",
            "fax_number": "715-575-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRADO HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MERLIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "715-600-1556"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Port Road Dental LLC
• Posey/House Transportation Services
• Myesha N Poston
• Gueyluenn Pow
• Christine Marie Powers, P.T.
• Kara Elizabeth Previte
• Kathryn Price, RN
• Marisa Ann Prielipp, OTR/L
• Sarah Elizabeth Prioleau, BSN, RN, DNP, CRNA
• Professional Personal Care Servcies

• Community Based Hospice Care Agency in Glendale, WI
• Providers in Glendale, WI by specialty
• Community Based Hospice Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.