Nos Healthcare, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1098 Issued in WI

Legal business name

NOS HEALTHCARE, INC

Practice address

1333 College Ave
Suite a
South Milwaukee, WI 53172-1150

Phone

(414) 762-9001

Fax

(414) 762-9003

NPI assigned

Aug 8, 2011

Last updated

Sep 16, 2011By 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

Norma O Stavropoulos, RN

Title

Owner

Phone

(630) 941-3683

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982983060. Details of each certification follow.

• CCN 527307 Home health agency · Active · Details

Home health agency certification: CCN 527307

Legal name

NOS HEALTHCARE, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 29, 2009

Last certification

Jul 31, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 22, 2012 in WI

Enrollment address

1333 College Ave a
South Milwaukee, WI 53172-1150
HHA Branch

Listed as

Nos Healthcare Inc.CCN 527307 · All quality measures

Ownership

Proprietary

Certified

Sep 29, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1982983060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 COLLEGE AVE",
            "address_2": "SUITE A",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531721150",
            "telephone_number": "414-762-9001",
            "fax_number": "414-762-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 COLLEGE AVE",
            "address_2": "SUITE A",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531721150",
            "telephone_number": "414-762-9001",
            "fax_number": "414-762-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOS HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "STAVROPOULOS",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-941-3683",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "1098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDI SUBMITTER ID",
            "identifier": "WIA017932",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in South Milwaukee, WI
• Providers in South Milwaukee, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.