WCSC RACINE LLC (NPI# 1447893094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447893094 |
| Entity Type | Organization |
| Organization Name | WCSC RACINE LLC |
| Practice Address |
2616 Lathrop Ave Racine WI 53405-4145 |
| Mailing Address |
Po Box 28589 Green Bay WI 54324-0589 |
| Practice Telephone | 2625980290 |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-25 |
| Authorized Official Name | JAMES NOOYEN (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 9204424472 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
2616 LATHROP AVE |
| City | RACINE |
| State | WI |
| Zip Code | 53405-4145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396196457 | Victor Erato Jr. | Home Health | 2616 Lathrop Ave, Racine, WI 53405-4145 | 2016-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
| 1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
| 1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
| Find all providers in zip 53405 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784366 | Kati Dobbs | In Home Supportive Care | 1226 Grove Ave, Racine, WI 53405-3043 | 2020-09-10 |
| 1255975751 | Amani Personal Care Agency LLC | In Home Supportive Care | 3801 Monarch Dr Ste E, Racine, WI 53406-5500 | 2019-10-29 |
| 1528600699 | Anchor Ministries, Inc | In Home Supportive Care | 6618 Chesapeake Rd, Racine, WI 53406-1804 | 2019-10-10 |
| 1275184004 | Aries Adult Family Home LLC | In Home Supportive Care | 604 Sydney Dr, Racine, WI 53402-3010 | 2019-09-23 |
| 1962711457 | Kdr Services Inc. | In Home Supportive Care | 1127 Prairie Dr, Suite 600, Racine, WI 53406-5662 | 2010-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191346 | Beyond Care Services | In Home Supportive Care | 728 W Historic Mitchell St, Milwaukee, WI 53204-3528 | 2020-10-15 |
| 1013524966 | Esperanza Home Care, LLC | In Home Supportive Care | 4369 S Howell Ave Ste 304, Milwaukee, WI 53207-5055 | 2020-09-24 |
| 1134732027 | Louisa Frimpong | In Home Supportive Care | 6913 Waunakee Cir, Mequon, WI 53092-8520 | 2020-08-28 |
| 1235741018 | Caregiver Connections | In Home Supportive Care | 1525 Kenilworth Ct Apt 7, Stoughton, WI 53589-1996 | 2020-08-21 |
| 1275142689 | Para Professional LLC | In Home Supportive Care | 200 S. Executive Dr. Suite 101, Brookfield, WI 53005-4216 | 2020-07-31 |
| 1316556293 | Care Connection | In Home Supportive Care | 12007 W Burleigh St Apt 202, Wauwatosa, WI 53222-3121 | 2020-07-28 |
| 1265040711 | Diversity Home Health Services | In Home Supportive Care | 5757 W Oklahoma Ave Ste 200, Milwaukee, WI 53219-4303 | 2020-07-21 |
| 1992313696 | Prosper Home Health Care LLC | In Home Supportive Care | 1574 W Broadway Ste 200, Monona, WI 53713-1825 | 2020-07-19 |
| 1427666296 | Aagape Home Care | In Home Supportive Care | 420 W Clover Ln Unit B, Cottage Grove, WI 53527-9430 | 2020-07-17 |
| 1487262457 | Sister & Sister Home Healthcare LLC | In Home Supportive Care | 2672 N 67th St Apt 2, Milwaukee, WI 53213-1461 | 2020-07-16 |
| 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.