PROHEALTH HOME CARE, INC. (NPI# 1356316160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356316160 |
| Entity Type | Organization |
| Organization Name | PROHEALTH HOME CARE, INC. |
| Other Organization Name | PROHEALTH HOME HOSPICE AND ANGELSGRACE HOSPICE |
| Practice Address |
1020 James Dr Ste E Hartland WI 53029 |
| Practice Telephone | 2629287444 |
| Practice Fax Number | 2629287446 |
| Mailing Telephone | 2629287444 |
| Mailing Fax Number | 2629287446 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2011-12-20 |
| Authorized Official Name | ROBERT W. WALTERS (DIRECTOR, PROHEALTH HOME CARE, INC.) |
| Authorized Official Telephone | 2629287887 |
| Authorized Official Credential | RN, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 527 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43183600 | 05 | |
| WI | UNITED HEALTH CARE | 7200001 | 01 |
| Other Name | Type Code |
|---|---|
| ProHealth Home Hospice and AngelsGrace Hospice | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932794 | Prohealth Home Care, Inc. | Home Health | 702 33rd Ave Sw, Minot, ND 58701-7368 | 2020-11-02 |
| 1801312483 | Prohealth Home Care, Inc. | Hospice Care, Community Based | 1450 Neotomas Ave Ste 130b, Santa Rosa, CA 95405-7575 | 2017-08-16 |
| 1255531570 | Prohealth Home Care, Inc. | Hospice Care, Community Based | 2700 Zanker Rd, Suite 180, San Jose, CA 95134-2139 | 2007-07-24 |
| Street Address |
1020 JAMES DR STE E |
| City | HARTLAND |
| State | WI |
| Zip Code | 53029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042539 | Marjorie Stuart | Technician | 2410 Hirschman Lane, Hartland, WI 53029 | 2020-01-23 |
| 1063854149 | Madeline M Walter | Dentist | 231 Lawn Street, Modern Touch Dental, Hartland, WI 53029 | 2013-07-18 |
| 1801235403 | Kelly L.m. Newman | Dentist | 139 E. Capitol Dr., Hartland, WI 53029 | 2013-06-18 |
| 1124465323 | Ascension St Francis Hospital, Inc | General Acute Care Hospital | 609 River Meadow Drive, Hartland, WI 53029 | 2013-05-28 |
| 1528313384 | Kristina Johnson | Physical Therapist | 600 Hartbrook Dr Ste 111, Hartland, WI 53029 | 2012-07-18 |
| 1578822565 | Kacie Estes Walters | Chiropractor | 1120 James Dr Ste B, Hartland, WI 53029 | 2012-05-10 |
| 1639485428 | Lisa Renae Herpolsheimer | Social Worker | W331 N9103 West Shore Drive, Hartland, WI 53029 | 2010-08-31 |
| 1063669943 | John Light Atlee Sr. | Anesthesiology | W309 N6698 Caddy Court, John L. Atlee, M.d., Hartland, WI 53029 | 2008-08-22 |
| 1598947053 | Merton Community School District | Local Education Agency (LEA) | W28320 Sussex Road, Hartland, WI 53029 | 2007-11-27 |
| 1407057441 | George Chris Panos | Dentist | N 67 W 31027 Club Circle East, Hartland, WI 53029 | 2007-05-29 |
| Find all providers in zip 53029 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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|---|---|---|---|---|
| 1992317762 | Castle Senior Living, Inc | Hospice Care, Community Based | 13050 W Cleveland Ave, New Berlin, WI 53151-4013 | 2020-08-21 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.