AGNESIAN HEALTHCARE, INC (NPI# 1861467144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861467144 |
| Entity Type | Organization |
| Organization Name | AGNESIAN HEALTHCARE, INC |
| Other Organization Name | ST AGNES HOSPITAL HOME CARE |
| Practice Address |
239 Trowbridge Dr Fond Du Lac WI 54937-9180 |
| Practice Telephone | 9209075379 |
| Mailing Telephone | 9209075379 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2007-11-09 |
| Authorized Official Name | STEVEN N LITTLE (SVP & CFO) |
| Authorized Official Telephone | 9209265402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41507400 | 05 |
| Other Name | Type Code |
|---|---|
| St Agnes Hospital Home Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942274717 | Agnesian Healthcare, Inc | Hospice Care, Community Based | 239 Trowbridge Dr, Fond Du Lac, WI 54937-9180 | 2006-02-16 |
| 1114992492 | Agnesian Healthcare, Inc | Home Infusion | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2006-02-21 |
| 1538147749 | Agnesian Healthcare, Inc | Rehabilitation Unit | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2006-01-06 |
| 1346228541 | Agnesian Healthcare, Inc | General Acute Care Hospital | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2006-01-06 |
| 1578541785 | Agnesian Healthcare, Inc | Skilled Nursing Facility | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2006-01-06 |
| 1598743726 | Agnesian Healthcare, Inc | Psychiatric Unit | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2006-01-06 |
| Street Address |
239 TROWBRIDGE DR |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54937-9180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942274717 | Agnesian Healthcare, Inc | Hospice Care, Community Based | 239 Trowbridge Dr, Fond Du Lac, WI 54937-9180 | 2006-02-16 |
| 1184699704 | Agnesian Healthcare Enterprises LLC | Durable Medical Equipment & Medical Supplies | 239 Trowbridge Dr, Fond Du Lac, WI 54937-9180 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710523774 | Lisa Diane Brown | Social Worker | W3950 Wi-23 Trunk, Fond Du Lac, WI 54937 | 2019-11-25 |
| 1538700083 | Kristine Karpen | Technician | 1812 Thurke Ave, North Fond Du Lac, WI 54937 | 2019-10-07 |
| 1962719245 | James Hugh Rupple | Ophthalmology | W4410 Mary Hill Park, Fond Du Lac, WI 54937 | 2010-09-08 |
| 1467591131 | Rosonna Sue Comers | Social Worker | N6687 Wrightway Dr, Ste D, Fond Du Lac, WI 54937 | 2007-02-06 |
| 1487731741 | Daniel James Kierstead | Optometrist | 377 N Rollings Meadows Dr, Fond Du Lac, WI 54937 | 2006-11-01 |
| 1528519758 | Betty Xiong | Physician Assistant | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2016-10-24 |
| 1598112963 | Jennifer M Halbach | Nurse Practitioner | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2016-05-16 |
| 1548667231 | Tanya Watry | Physician Assistant | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2014-11-25 |
| 1578813606 | Joline Brotzman | Nurse Practitioner | 700 Park Ridge Ln, North Fond Du Lac, WI 54937 | 2012-09-17 |
| 1306085998 | Forefront Dermatology, S.c. | Dermatology | 111 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2009-02-05 |
| Find all providers in zip 54937 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356904106 | Pinnacle Health Services | Home Health | 228 S Military Rd Ste 204, Fond Du Lac, WI 54935-4819 | 2019-04-17 |
| 1710296405 | Generations Home Care and Hospice Inc | Home Health | 1028 S Main St, Suite C, Fond Du Lac, WI 54935-6102 | 2010-09-29 |
| 1619928298 | In Home Health LLC | Home Health | 63 W Pioneer Rd, Fond Du Lac, WI 54935-6151 | 2006-05-16 |
| 1679545917 | Fond Du Lac County | Home Health | 160 S Macy St, Fond Du Lac, WI 54935-4241 | 2006-02-02 |
| 1740626332 | Rehab Arisces Home Health Services | Home Health | 845 S Main St Ste 120, Fond Du Lac, WI 54935-6116 | 2013-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245561 | Comfort Care 4 U, LLC | Home Health | 7701 Mineral Point Rd Ste A, Madison, WI 53717-2027 | 2020-11-04 |
| 1639779754 | Wisconsin Independent Living Solutions LLC | Home Health | 817 Colton St, Waukesha, WI 53186-5126 | 2020-10-28 |
| 1821698341 | Jaqualynne Postuchow | Home Health | 8739 Smith St, Sayner, WI 54560-9696 | 2020-10-26 |
| 1467068767 | Lashonda Nicole Simmons | Home Health | 24th Street, 1812 North, Milwaukee, WI 53205-1410 | 2020-09-22 |
| 1124634332 | Nehemiah House, LLC | Home Health | 3901 N 21st Street, Milwaukee, WI 53206 | 2020-09-22 |
| 1699389593 | Infinity Care Services LLC | Home Health | 9203 W Bluemound Rd Ste A, Milwaukee, WI 53226-4484 | 2020-09-08 |
| 1982218426 | Homecare Pal, LLC | Home Health | 2916 Marketplace Dr Ste 209, Fitchburg, WI 53719-5327 | 2020-09-02 |
| 1366053118 | Adron Health Care, LLC | Home Health | 9117 S 20th St, Oak Creek, WI 53154-7465 | 2020-08-14 |
| 1790396521 | Faithful Living Home Health Care Agency LLC | Home Health | 3846 W Wisconsin Ave Apt 110, Milwaukee, WI 53208-3175 | 2020-08-14 |
| 1770194847 | Faithful Hands PCa LLC | Home Health | 8008 W Capitol Dr, Milwaukee, WI 53222-1918 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
| City | FOND DU LAC |
| Zip Code | 54937 |
Please comment or provide details below to improve the information on AGNESIAN HEALTHCARE, 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.