1225596646 NPI number — INTERNATIONAL QUALITY HOMECARE OF WISCONSIN LLC

Table of content: (NPI 1225596646)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225596646 NPI number — INTERNATIONAL QUALITY HOMECARE OF WISCONSIN LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INTERNATIONAL QUALITY HOMECARE OF WISCONSIN LLC
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:
1225596646
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/05/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3261 19TH ST NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCHESTER
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55901-6786
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
507-252-8117
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2395 W WASHINGTON ST STE 103
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEST BEND
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53095-2147
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-677-0590
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/05/2019

Additional Information

Authorized Official

Authorized Official Last Name:
JOHNSON
Authorized Official First Name:
JAYNE
Authorized Official Middle Name:
Authorized Official Title or Position:
COMPLIANCE DIRECTOR
Authorized Official Telephone Number:
507-252-8151

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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