JEFFERSON COUNTY HEALTH DEPARTMENT (NPI# 1538228200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538228200 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COUNTY HEALTH DEPARTMENT |
| Practice Address |
N3995 Annex Road Jefferson WI 53549-9618 |
| Practice Telephone | 9206747275 |
| Practice Fax Number | 9206747477 |
| Mailing Telephone | 9206747275 |
| Mailing Fax Number | 9206747477 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. GAIL M SCOTT (DIRECTOR HEALTH OFFICER) |
| Authorized Official Telephone | 9206747228 |
| Authorized Official Credential | RN BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43103200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891716783 | Jefferson County Health Department | Public Health or Welfare | 715 Sw 4th St, Suite C, Madras, OR 97741-1022 | 2006-07-23 |
| 1063561959 | Jefferson County Health Department | Public Health or Welfare | 715 Sw 4th St Ste C, Madras, OR 97741-1022 | 2007-01-09 |
| 1174672067 | Jefferson County Health Department | Public Health or Welfare | 715 Sw 4th St Ste C, Madras, OR 97741-1022 | 2007-01-09 |
| 1144385154 | Jefferson County Health Department | Home Health | 715 Green Rd, Madison, IN 47250-2143 | 2006-12-27 |
| 1235298902 | Jefferson County Health Department | Home Health | N3995 Annex Road, Jefferson, WI 53549-9618 | 2006-12-08 |
| 1588722383 | Jefferson County Health Department | Public Health or Welfare | 214 South Main Street, Boulder, MT 59632 | 2006-12-05 |
| 1235118324 | Jefferson County Health Department | Public Health or Welfare | 405 Main Street, Hillsboro, MO 63050 | 2006-01-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JEFFERSON COUNTY HEALTH DEPARTMENT | 1 Doctors Park Rd Ste F, Mount Vernon, IL 62864-6291 |
| Street Address |
N3995 ANNEX ROAD |
| City | JEFFERSON |
| State | WI |
| Zip Code | 53549-9618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033202528 | Marie Ann Maxwell-jones | Occupational Therapist | N3995 Annex Road, Jefferson, WI 53549 | 2006-10-02 |
| 1235298902 | Jefferson County Health Department | Home Health | N3995 Annex Road, Jefferson, WI 53549-9618 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740804913 | Anna E Warzala | Licensed Practical Nurse | Sunset Ridge Jefferson, 826 E. Reinel Street, Jefferson, Wi 53549, Jefferson, WI 53549 | 2020-06-03 |
| 1023428083 | Mary Beth Breunig | Occupational Therapist | 206 South Taft Avenue, Jefferson, WI 53549 | 2014-04-30 |
| 1841639952 | Debra Lee Schoenike | Licensed Practical Nurse | 610 S Main Street, Jefferson, WI 53549 | 2013-06-21 |
| 1073762191 | Katherine Sue Drechsler | Counselor | 1541 Annex Road, Jefferson, WI 53549 | 2008-09-12 |
| 1497960645 | Family Resources Associates Inc | Counselor | 248 S Wisconsin Drive, Jefferson, WI 53549 | 2007-05-11 |
| 1386707529 | Todd G Goldbeck | Physical Therapist | 1515 Highway 26 South, Jefferson, WI 53549 | 2006-12-19 |
| 1982780813 | Sport & Spine Clinic of Fort Atkinson Limited Partnership | Physical Therapist | 222 S Wisconsin Drive, Suite 3, Jefferson, WI 53549 | 2006-10-31 |
| 1447216551 | Diane Mary Voelker | Registered Nurse | 224 Connelly D R, Jefferson, WI 53549 | 2006-04-26 |
| 1063477065 | Cynthia Lynn Miller | Registered Nurse | W4949 Streim Lane, Jefferson, WI 53549 | 2006-04-20 |
| 1750768065 | Terrence Christopher Bolger | Case Manager/Care Coordinator | 1541 Annex Road, Jefferson, WI 53549 | 2015-05-06 |
| Find all providers in zip 53549 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073018552 | Pauline Burton | Technician | 120 N Walnut St, Jefferson, TX 75657-1934 | 2018-03-27 |
| 1720583263 | Pamela Kathleen Blakeley | Technician | 120 N Walnut St, Jefferson, TX 75657-1934 | 2018-03-27 |
| 1053816504 | Jordan Brian | Technician | 120 N Walnut St, Jefferson, TX 75657-1934 | 2018-03-27 |
| 1710482211 | Lyntasha Pace Benson | Technician | 120 N Walnut St, Jefferson, TX 75657-1934 | 2018-03-27 |
| 1750882478 | Latarsha Evett Evans | Technician | 120 N Walnut St, Jefferson, TX 75657-1934 | 2018-02-27 |
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| 1952917585 | Neeny Holdings, Inc. | Technician | 109 Prairie Grass Rd, Oregon, WI 53575-3948 | 2020-09-18 |
| 1669002200 | Cheryl Brown | Technician | S50w30392 Seville Ln, Mukwonago, WI 53149-8732 | 2020-01-23 |
| 1265085740 | Best Life Residential | Technician | 4709 Ferris Ave, Madison, WI 53716-1413 | 2019-07-23 |
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| 1780170852 | Patricia Howard | Technician | 2941 Fish Hatchery Rd Apt 209, Fitchburg, WI 53713-3147 | 2018-07-02 |
| 1245749050 | Zehs Home Health Care LLC | Technician | 6001 W Center St Ste 208, Milwaukee, WI 53210-2154 | 2017-09-25 |
| 1245764588 | Pang Vue | Technician | 12714 W Hampton Ave, Ste E, Butler, WI 53007-1640 | 2017-04-13 |
| 1568996049 | Tammie Lynn Du Pree | Technician | 1349 N 37th Pl, Milwaukee, WI 53208-2835 | 2017-04-12 |
| 1184174419 | Cecile Gambrell | Technician | 309 Joellen Dr, Waukesha, WI 53188-4977 | 2016-10-11 |
| 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.