HOMECARE PAL, LLC (NPI# 1982218426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982218426 |
| Entity Type | Organization |
| Organization Name | HOMECARE PAL, LLC |
| Practice Address |
2916 Marketplace Dr Ste 209 Fitchburg WI 53719-5327 |
| Practice Telephone | 6082342121 |
| Mailing Telephone | 6082342121 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | JERRY YANG (CEO) |
| Authorized Official Telephone | 6082342121 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
2916 MARKETPLACE DR STE 209 |
| City | FITCHBURG |
| State | WI |
| Zip Code | 53719-5327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| Find all providers in zip 53719 | ||||
| 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 |
|---|---|---|---|---|
| 1023581014 | Homelink Health LLC | Home Health | 76 Summer St Ste 303, Fitchburg, MA 01420-5783 | 2019-01-02 |
| 1295238053 | Equalizer Home Care, Inc | Home Health | 76 Summer St Ste 325, Fitchburg, MA 01420-5766 | 2018-03-16 |
| 1659893220 | Fresh Start Home Care LLC | Home Health | 293 Arnhow Farm Road, Fitchburg, MA 01420 | 2017-07-14 |
| 1841745551 | Polaris Home Care Systems, LLC | Home Health | 245 River St Apt 320, Fitchburg, MA 01420-3299 | 2016-08-23 |
| 1962898270 | Care Divine Health Services LLC | Home Health | 245 River St, Suite 128, Fitchburg, MA 01420-3282 | 2015-04-13 |
| 1568807576 | Better Living Homecare, LLC | Home Health | 715 Blossom St, Fl 2, Fitchburg, MA 01420-2363 | 2013-05-03 |
| 1316245723 | Helping Hands Home Care | Home Health | 344 Main St Ste 19, Fitchburg, MA 01420-8007 | 2011-03-09 |
| 1972733780 | Tender Loving Care Health Care Services of New England L.l.c | Home Health | 19 Pierce Ave, Suite B, Fitchburg, MA 01420-7111 | 2009-07-15 |
| 1063580041 | Tanaka Chimbinyu | Home Health | 397 Main St, Fitchburg, MA 01420-8006 | 2006-11-30 |
| 1346801867 | Jrainternationalllc | Home Health | 16 Wachusett St, Fitchburg, MA 01420-4741 | 2019-06-25 |
| Find all providers in FITCHBURG | ||||
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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.