COPPERLEAF HOME HEALTH INC (NPI# 1164994117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164994117 |
| Entity Type | Organization |
| Organization Name | COPPERLEAF HOME HEALTH INC |
| Practice Address |
1077 Wilshire Blvd Stevens Point WI 54481 |
| Practice Telephone | 7152544357 |
| Practice Fax Number | 7153438863 |
| Mailing Telephone | 7152544357 |
| Mailing Fax Number | 7153438863 |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2018-12-31 |
| Authorized Official Name | KRISTA MENDYKE (PRESIDENT/FOUNDER) |
| Authorized Official Telephone | 7152544357 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
1077 WILSHIRE BLVD |
| City | STEVENS POINT |
| State | WI |
| Zip Code | 54481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309649 | County of Portage | Clinic/Center | 1519 Water Street, Stevens Point, WI 54481 | 2020-06-05 |
| 1700400736 | Sarai Sophia Holbrook | Speech-Language Pathologist | Room 038 Cps, 1901 Fourth Ave., Uw-stevens Point, Stevens Point, WI 54481 | 2020-06-05 |
| 1568980274 | Melissa Jean Gutierrez | Dental Hygienist | 941 Michigan Ave, Stevens Point, WI 54481 | 2017-09-01 |
| 1164946026 | Brittany Rose Larocque | Chiropractor | 3908 Green Ct, Stevens Point, WI 54481 | 2017-08-01 |
| 1245750009 | Alyssa Kate Koth | Speech-Language Pathologist | Rm 038 Cps 1901 Fourth Ave, Unviersity of Wisconsin-stevens Point, Stevens Point, WI 54481 | 2017-06-22 |
| 1881133734 | Teri Jean Edlebeck | Specialist/Technologist | 1017 Williams Street, Stevens Point, WI 54481 | 2017-02-13 |
| 1215475892 | Valerie Lynn Fons | Dental Hygienist | 941 Michigan Avenue, Stevens Point, WI 54481 | 2017-02-03 |
| 1427509439 | Tanner Ozanne | Chiropractor | 2212 Division St, Stevens Point, WI 54481 | 2016-10-14 |
| 1134594765 | Dana Fredrickson | Registered Nurse | 616 Franklin St, Stevens Point, WI 54481 | 2015-12-08 |
| 1356740468 | Benjamin Rockwell | Specialist/Technologist | 3825 Robert Street, Apt 2, Stevens Point, WI 54481 | 2014-08-14 |
| Find all providers in zip 54481 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742206 | Jamie Brown | Home Health Aide | 8200 W. Clovernook Street, Milwaukee, WI 53223 | 2020-08-28 |
| 1134730484 | Pearl Kendrick-ross | Home Health Aide | 4553 N 23rd St, Milwaukee, WI 53209-6270 | 2020-08-11 |
| 1295345569 | Roshay Michelle Edwards | Home Health Aide | 4303 N 66th St, Milwaukee, WI 53216-1102 | 2020-08-03 |
| 1720605751 | Shahzad Noor | Home Health Aide | 8210b W Capitol Dr, Milwaukee, WI 53222-1922 | 2020-06-25 |
| 1811510431 | Lamika Cook | Home Health Aide | 1817 W Clarke St, Milwaukee, WI 53206-2058 | 2020-05-19 |
| 1932729233 | Brenda A Waoh | Home Health Aide | 1720 N Commerce St, Milwaukee, WI 53212-4035 | 2020-04-16 |
| 1225665995 | Lakisha Rollins | Home Health Aide | 7919 W Bender Ave Apt 1, Milwaukee, WI 53218-1137 | 2020-03-24 |
| 1760017578 | Setting Sun Care Home | Home Health Aide | 1992 County Road Ee, Albany, WI 53502 | 2020-03-12 |
| 1710527080 | Gary Zarko | Home Health Aide | W6302 Bluff Rd, Whitewater, WI 53190-3910 | 2020-01-14 |
| 1134768559 | Dana Perry | Home Health Aide | 6911 W Lima St, Milwaukee, WI 53223-5733 | 2020-01-02 |
| Find all providers with the same taxonomy | ||||
| City | STEVENS POINT |
| Zip Code | 54481 |
Please comment or provide details below to improve the information on COPPERLEAF HOME HEALTH INC.
| 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.