MARQUARDT HOME AND COMMUNITY BASED SERVICES, INC. (NPI# 1083652333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083652333 |
| Entity Type | Organization |
| Organization Name | MARQUARDT HOME AND COMMUNITY BASED SERVICES, INC. |
| Other Organization Name | MARQUARDT HOSPICE |
| Practice Address |
1020 Hill St Watertown WI 53098-3016 |
| Mailing Address |
1045 Hill St Watertown WI 53098-3015 |
| Practice Telephone | 9202610400 |
| Practice Fax Number | 9202614840 |
| Mailing Telephone | 9202610400 |
| Mailing Fax Number | 9202614840 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | MRS. JULIE A. MARKS (CFO) |
| Authorized Official Telephone | 9202064930 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARQUARDT VILLAGE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 2015 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43190600 | 05 |
| Other Name | Type Code |
|---|---|
| Marquardt Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071121 | Marquardt Home and Community Based Services, Inc. | Home Health | 1020 Hill St, Watertown, WI 53098-3016 | 2005-05-27 |
| Street Address |
1020 HILL ST |
| City | WATERTOWN |
| State | WI |
| Zip Code | 53098-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091323 | Marquardt Memorial Manor, Inc. | Skilled Nursing Facility | 1020 Hill St, Watertown, WI 53098-3016 | 2005-05-27 |
| 1780169011 | Mikko Chiong Dela Rosa | Physical Therapist | 1020 Hill St, Watertown, WI 53098-3016 | 2018-10-02 |
| 1114306875 | Michael E Onsrud | Physical Therapy Assistant | 1020 Hill St, Watertown, WI 53098-3016 | 2015-05-27 |
| 1043699242 | Thuan Van Ngo | Physical Therapist | 1020 Hill St, Watertown, WI 53098-3016 | 2015-05-21 |
| 1407252729 | Brittany Batten | Physical Therapy Assistant | 1020 Hill St, Watertown, WI 53098-3016 | 2014-11-13 |
| 1295131522 | Courtney Wack | Physical Therapist | 1020 Hill St, Watertown, WI 53098-3016 | 2014-11-13 |
| 1770989378 | Jenna Quinn | Occupational Therapy Assistant | 1020 Hill St, Watertown, WI 53098-3016 | 2014-11-08 |
| 1831595586 | Jennifer Garcia | Occupational Therapist | 1020 Hill St, Watertown, WI 53098-3016 | 2014-11-07 |
| 1164834503 | Sherry Gnabasik | Physical Therapy Assistant | 1020 Hill St, Watertown, WI 53098-3016 | 2014-05-20 |
| 1942611017 | Shelly Penn | Occupational Therapy Assistant | 1020 Hill St, Watertown, WI 53098-3016 | 2014-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528558749 | Watertown Physician Practices LLC | Eyewear Supplier (Equipment, not the service) | 123 Hospital Dr Ste 2005, Watertown, WI 53098 | 2018-05-14 |
| 1851822076 | Fort Health Care Inc | Otolaryngology | 123 Hospital Dr Suite 106a, Watertown, WI 53098 | 2017-03-21 |
| 1598045692 | Bonnie Kay Peot | Licensed Practical Nurse | 1420 Wedgewood Drive, Watertown, WI 53098 | 2011-08-19 |
| 1275790404 | Kathy R. Adkins | Physical Therapy Assistant | 1020 Hill Street, Watertown, WI 53098 | 2008-05-16 |
| 1336361294 | Patrice Walter | Occupational Therapist | 125 Hospital Dr., Watertown, WI 53098 | 2007-05-02 |
| 1720161284 | Carolyn T Schneider-donley | Optometrist | 622 N. Church Street, Watertown, WI 53098 | 2006-10-20 |
| 1730156431 | Mohamed H Yafai | Internal Medicine | 123 Hospital Drive, Suite 2009, Watertown, WI 53098 | 2006-03-02 |
| 1093711236 | Dana M. Fields | Physician Assistant | 134 Hospital Drive, Watertown, WI 53098 | 2005-06-22 |
| 1528560018 | Watertown Medical Center LLC | Psychiatric Unit | 125 Hospital Drive, Watertown, WI 53098 | 2018-03-01 |
| 1437544863 | Zachary Richardson | Internal Medicine | 125 Hospital Dr, Watertown, WI 53098 | 2015-04-02 |
| Find all providers in zip 53098 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164426433 | Hospice of Jefferson County, Inc. | Hospice Care, Community Based | 1398 Gotham Street, Watertown, NY 13601 | 2005-06-02 |
| 1184018186 | Caregroup Parmenter Home Care & Hospice, Inc. | Hospice Care, Community Based | 1 Arsenal Market Pl, Watertown, MA 02472-5018 | 2015-03-27 |
| 1467480640 | Prairie Lakes Health Care Systems Inc | Hospice Care, Community Based | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2006-06-28 |
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| 1982215307 | Moments Hospice of Appleton LLC | Hospice Care, Community Based | 806 Valley Rd Ste 1, Menasha, WI 54952-1120 | 2020-08-10 |
| 1992316319 | Moments Hospice of Madison LLC | Hospice Care, Community Based | 5315 Wall St Ste 135, Madison, WI 53718-7963 | 2020-08-10 |
| 1912531997 | Moments Hospice of Milwaukee | Hospice Care, Community Based | 1139 S Sunnyslope Dr Ste 200, Mt Pleasant, WI 53406-3998 | 2020-02-27 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1871052944 | Kenya Pratt | Hospice Care, Community Based | 5510 N 33rd St, Milwaukee, WI 53209-4834 | 2019-03-18 |
| 1518432749 | Brighton Hospice Wisconsin | Hospice Care, Community Based | 300 N Executive Dr Ste 110, Brookfield, WI 53005-6016 | 2018-10-03 |
| 1184136939 | Legacy Hospice Cares LLC | Hospice Care, Community Based | 850 Elm Grove Rd Ste 21, Elm Grove, WI 53122-2527 | 2017-11-02 |
| 1720523210 | Holistic Hospice Inc | Hospice Care, Community Based | 3422 W Howard Ave, Greenfield, WI 53221-1208 | 2016-12-20 |
| 1740722586 | Bani Inc | Hospice Care, Community Based | 7434 N Lannon Rd, Lannon, Lannon, WI 53046-9746 | 2016-11-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.