NPIMap

Organization Active NPI

Procare Plus, LLC

  • In Home Supportive Care Agency
  • Oconomowoc, WI
National Provider Identifier
1992255228
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PROCARE PLUS, LLC
Practice address
1222 N Breezeland Rd
Oconomowoc, WI 53066-8736
Phone
(262) 567-2200
Fax
(262) 567-8024
NPI assigned
Oct 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Ms. Dawn E Coleman
Title
RN/Owner
Phone
(262) 490-0042

Specialties & licenses 1

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

Addresses

Primary practice location

1222 N Breezeland Rd
Oconomowoc, WI 53066-8736

Mailing address

1222 N Breezeland Rd
Oconomowoc, WI 53066-8736
Phone (262) 567-2200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1992255228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 N BREEZELAND RD",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530668736",
            "telephone_number": "262-567-2200",
            "fax_number": "262-567-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 N BREEZELAND RD",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530668736",
            "telephone_number": "262-567-2200",
            "fax_number": "262-567-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE PLUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "RN/OWNER",
        "authorized_official_telephone_number": "262-490-0042",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oconomowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.