1750532313 NPI number — HOME CARE UNITED, INC.

Table of content: (NPI 1750532313)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750532313 NPI number — HOME CARE UNITED, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOME CARE UNITED, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750532313
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/02/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4639 HAMMERSLEY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MADISON
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53711-2706
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
608-276-3420
Provider Business Mailing Address Fax Number:
608-276-3425

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1111 8TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BARABOO
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53913-1803
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-356-6475
Provider Business Practice Location Address Fax Number:
608-356-0862
Provider Enumeration Date:
10/01/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KELLY
Authorized Official First Name:
BRIAN
Authorized Official Middle Name:
T
Authorized Official Title or Position:
REGIONAL DIRECTOR HME
Authorized Official Telephone Number:
608-276-3926

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 41678800 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".