NPIMap

Organization Active NPI

Northland Home Health

  • Multi-Specialty Clinic/Center
  • Westfield, WI
National Provider Identifier
1982743498
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
241 Issued in WI
Legal business name
NORTHLAND HOME HEALTH
Practice address
328 N Main St
Westfield, WI 53964-9039
Phone
(608) 296-3811
Fax
(608) 296-2480
NPI assigned
Feb 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nancy Charles
Title
Administrator
Phone
(608) 296-3811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 241 WI Primary

Addresses

Primary practice location

328 N Main St
Westfield, WI 53964-9039

Mailing address

328 N Main St
Westfield, WI 53964-9039
Phone (608) 296-3811

Other identifiers 1

IdentifierTypeStateIssuer
41224800MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Northland Community Services CSP6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982743498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 N MAIN ST",
            "city": "WESTFIELD",
            "state": "WI",
            "postal_code": "539649039",
            "telephone_number": "608-296-3811",
            "fax_number": "608-296-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 N MAIN ST",
            "city": "WESTFIELD",
            "state": "WI",
            "postal_code": "539649039",
            "telephone_number": "608-296-3811",
            "fax_number": "608-296-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "608-296-3811"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WI",
            "license": "241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41224800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.