FULL HOME HEALTH SERVICES LLC (NPI# 1699131151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699131151 |
| Entity Type | Organization |
| Organization Name | FULL HOME HEALTH SERVICES LLC |
| Practice Address |
1320 Mendota St Suite 110 Madison WI 53714-1096 |
| Mailing Address |
1320 Mendota Street Suite 110 Madison WI 53714 |
| Practice Telephone | 6082373550 |
| Practice Fax Number | 6088196433 |
| Mailing Telephone | 6082373550 |
| Mailing Fax Number | 6088196433 |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |
| Authorized Official Name | MRS. ABIMBOLA S BLAGOGEE (REGISTERED NURSE) |
| Authorized Official Telephone | 6082373550 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
1320 MENDOTA ST SUITE 110 |
| City | MADISON |
| State | WI |
| Zip Code | 53714-1096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730107418 | Henning Von Bauer | Social Worker | 1320 Mendota St, Ste 106 Props, Madison, WI 53714-1096 | 2006-07-18 |
| 1891286282 | Cassandra J Merboth | Case Manager/Care Coordinator | 1320 Mendota St, Madison, WI 53714-1096 | 2018-05-22 |
| 1689179186 | Lisa Marie Hoffman | Social Worker | 1320 Mendota St, Madison, WI 53714-1096 | 2018-03-27 |
| 1508314915 | Carlos Ramos Ortolaza | Counselor | 1320 Mendota St, Madison, WI 53714-1096 | 2016-09-14 |
| 1639522162 | Brittany Kislow | Social Worker | 1320 Mendota St, Ste 120, Madison, WI 53714-1096 | 2016-07-20 |
| 1699138354 | Gretchen Patrisio | Social Worker | 1320 Mendota St, Ste 120, Madison, WI 53714-1096 | 2016-03-31 |
| 1194185538 | Ya Mee Swartz | Social Worker | 1320 Mendota St, Suite 120, Madison, WI 53714-1096 | 2016-02-27 |
| 1326406414 | Kaylin Ann Shampo | Counselor | 1320 Mendota St, Ste 120, Madison, WI 53714-1096 | 2016-02-03 |
| 1316303688 | Genuine Personal Care Services | Skilled Nursing Facility | 1320 Mendota St, Suite 110, Madison, WI 53714-1096 | 2016-01-02 |
| 1689057564 | Kao Lee Yang | Social Worker | 1320 Mendota St, Ste 120, Madison, WI 53714-1096 | 2015-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069421 | Access Elevator, Inc. | Contractor | 4229 Argosy Ct., Suite 2b, Madison, WI 53714 | 2020-03-26 |
| 1629426762 | Bethany Domoto | Occupational Therapist | 210 Dempsey Rd, Madison, WI 53714 | 2016-05-31 |
| 1871984989 | Warren Family Dental | Dentist | 4226 Milwaukee Street, Madison, WI 53714 | 2015-02-11 |
| 1316103567 | Heather Marie Kramer | Occupational Therapy Assistant | 5755 Burke Rd, Madison, WI 53714 | 2008-08-06 |
| 1841402906 | Genesis Eldercare Rehab Services | Occupational Therapist | 4502 Milwaukee Street, Madison, WI 53714 | 2007-05-03 |
| 1902928872 | Christine Haag | Dentist | 758 Corporate Dr., Suite 201, Madison, WI 53714 | 2007-04-04 |
| 1366958522 | Dana Johanek | Acupuncturist | 4222 Milwaukee St, 17, Madison, WI 53714 | 2017-12-22 |
| 1003338575 | Lacrima M Goldberg | Dentist | 826 Atlas Ave, Madison, WI 53714 | 2017-07-17 |
| 1497127120 | Kimberly Ann Klein | Occupational Therapist | 4502 Milwaukee Street, Madison, WI 53714 | 2015-10-21 |
| 1437310604 | Pediatric Dental Specialists of Madison LLC | Dentist | 49 N Walbridge Ave, Madison, WI 53714 | 2008-06-20 |
| Find all providers in zip 53714 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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| 1386245561 | Comfort Care 4 U, LLC | Home Health | 7701 Mineral Point Rd Ste A, Madison, WI 53717-2027 | 2020-11-04 |
| 1245841667 | Naj Health Care Services Inc | Home Health | 6117 Driscoll Dr, Madison, WI 53718-3033 | 2020-08-10 |
| 1467074252 | Bethany Cares Home Health Services Inc | Home Health | 221 Clifty Dr, Madison, IN 47250-1603 | 2020-05-14 |
| 1952948895 | Alina's Elder Care, LLC | Home Health | 67 Sterling Park, Madison, CT 06443-2203 | 2019-12-10 |
| 1134788896 | 4 Lakes Health Services, Inc | Home Health | 437 S Yellowstone Dr Ste 210, Madison, WI 53719-1061 | 2019-06-06 |
| 1396214144 | A Divine Miracle Adult Day Center | Home Health | 331 Gallatin Pike S Ste 1, Madison, TN 37115-4052 | 2018-11-21 |
| 1407214505 | Cna On The Go, LLC | Home Health | 8326 Inverness Dr, Madison, WI 53717-2647 | 2016-02-03 |
| 1356720890 | Deanna Gail Porter | Home Health | 1706 S Thompson Dr, Madison, WI 53716-1982 | 2015-05-28 |
| 1376959668 | Stay At Home Health Care Inc | Home Health | 1130 Douglas St, Madison, IL 62060-1122 | 2014-07-07 |
| 1588097018 | Emily Winkelman | Home Health | 303 North Franklin Street, Madison, WI 53703-1501 | 2013-08-20 |
| Find all providers in MADISON | ||||
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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.