Holmes Personal Care Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HOLMES PERSONAL CARE AGENCY LLC

Practice address

10111 W Capitol Dr Ste 8
Wauwatosa, WI 53222-1335

Phone

(414) 207-1852

Fax

(414) 444-7896

NPI assigned

Oct 19, 2020

Organization subpart

No

Name

Derek J HolmesNPI 1578188348

Title

Owner

Phone

(141) 207-1852

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

• Derek J Holmes

  • Home Health Agency
  • Wauwatosa, WI
  • NPI 1578188348

  Home Health

  NPD Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 19, 2020.

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1992304281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 W CAPITOL DR STE 8",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532221335",
            "telephone_number": "414-207-1852",
            "fax_number": "414-444-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 W CAPITOL DR STE 8",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532221335",
            "telephone_number": "414-207-1852",
            "fax_number": "414-444-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMES PERSONAL CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "141-207-1852"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100102242",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "holmespca1@gmail.com",
            "affiliation": "N",
            "endpointDescription": "holmespca1@gmail.com",
            "address_1": "10111 W Capitol Dr Ste 8",
            "city": "Wauwatosa",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532221335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Wright Hoffmann II, DPT
• Richard August Hohfeler, PSYD
• John Hojnacki, D.P.T.
• Jenna Rae Holentunder, PA-C
• James Parker Hollowell, MD
• Derek J Holmes
• Leah J Holschbach, PHARMD
• Honey Creek Counseling LLC
• Hilary Honsa, APSW
• Elizabeth Hood, D.C.

• All providers in Wauwatosa, WI
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.