Organization Active NPI

Midwest Home Health Care

  • In Home Supportive Care Agency
  • Green Bay, WI
National Provider Identifier
1992176861
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MIDWEST HOME HEALTH CARE
Practice address
2475 University Ave
Unit J
Green Bay, WI 54302-5099
Phone
(920) 965-9112
Fax
(920) 965-9111
NPI assigned
Oct 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Mai Ge Vang, RN
Title
Co-Owner
Phone
(920) 965-9112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2475 University Ave
Unit J
Green Bay, WI 54302-5099

Mailing address

2475 University Ave
Unit J
Green Bay, WI 54302-5099
Phone (920) 965-9112

Other identifiers 1

IdentifierTypeStateIssuer
100040357MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1992176861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 UNIVERSITY AVE",
            "address_2": "UNIT J",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543025099",
            "telephone_number": "920-965-9112",
            "fax_number": "920-965-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 UNIVERSITY AVE",
            "address_2": "UNIT J",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543025099",
            "telephone_number": "920-965-9112",
            "fax_number": "920-965-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "MAI GE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "920-965-9112",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100040357",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.