KINDRED SPIRITS HOME HEALTH AGENCY LLC (NPI# 1023356896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023356896 |
| Entity Type | Organization |
| Organization Name | KINDRED SPIRITS HOME HEALTH AGENCY LLC |
| Practice Address |
611 4th St Centuria WI 54824-9032 |
| Mailing Address |
611 4th St Centuria WI 54020 |
| Practice Telephone | 7152200897 |
| Mailing Telephone | 7152200897 |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |
| Authorized Official Name | CATHERINE DREWELOW (CO OWNER) |
| Authorized Official Telephone | 7152200897 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Street Address |
611 4TH ST |
| City | CENTURIA |
| State | WI |
| Zip Code | 54824-9032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568511095 | Jodi Ann Bergstrom | Optometrist | 416 Superior Avenue, Centuria, WI 54824 | 2007-01-10 |
| 1528539004 | Donna Lynn Johnson | Nurse Practitioner | 100 Polk County Plaza, Suite 50, Balsam Lake, WI 54824 | 2018-12-10 |
| 1538296363 | Valley View Vision Sc | Optometrist | 416 Superior Avenue, Centuria, WI 54824 | 2007-02-28 |
| 1699002956 | David Desales Markert | Psychologist | 120 Fourth Street, Centuria, WI 54824-0398 | 2009-11-06 |
| 1710039581 | Paul Allen Hauge | Dentist | 601 6th St Hwy 35, Centuria, WI 54824-0459 | 2007-01-18 |
| 1699821470 | Paul A. Hauge, Dds, Ltd | Dentist | 601 6th St Hwy 35, Centuria, WI 54824-0459 | 2007-01-26 |
| 1407141849 | Deborah K Kuntz | Dentist | 601 State Road 35, Centuria, WI 54824-9014 | 2011-06-14 |
| 1922664648 | Morgan Clemenson | Dentist | 601 State Road 35, Centuria, WI 54824-9014 | 2019-05-17 |
| 1629551098 | Alysia Mae Fisher | Dental Hygienist | 601 State Road 35, Centuria, WI 54824-9014 | 2018-09-12 |
| 1396104097 | Georgeann C. Vargas Dds, Ltd | Clinic/Center | 601 State Road 35, Centuria, WI 54824-9014 | 2016-02-23 |
| Find all providers in zip 54824 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517475 | Estefania L Ocampo | Custodial Care Facility | 1512 S Union St, Milwaukee, WI 53204-2646 | 2020-08-08 |
| 1295353688 | Purposeful Living, LLC | Custodial Care Facility | 3928 W Galena St, Milwaukee, WI 53208-2340 | 2020-07-11 |
| 1750915575 | County of La Crosse | Custodial Care Facility | 856 Garland St E, West Salem, WI 54669 | 2020-03-02 |
| 1649814526 | Hadassah Care Homes Inc. | Custodial Care Facility | 4822 N 47th St, Milwaukee, WI 53218-4414 | 2019-11-04 |
| 1043869316 | S&s House of Hope, LLC | Custodial Care Facility | 1664 Terry Dale Dr, West Bend, WI 53090-8934 | 2019-09-09 |
| 1508415894 | Our Home Sweet Home LLC | Custodial Care Facility | 4101 N Montreal St, Milwaukee, WI 53216-1740 | 2019-09-09 |
| 1912553363 | Lisa Bender | Custodial Care Facility | 3335 N 50th St, Milwaukee, WI 53216-3213 | 2019-08-12 |
| 1417512260 | Open With Arms, LLC | Custodial Care Facility | 3906 N Vel R Phillips Ave, Milwaukee, WI 53212-1114 | 2019-05-07 |
| 1013480094 | Warming Hands Residential Service, LLC | Custodial Care Facility | 575 Schiller St, Sun Prairie, WI 53590-2072 | 2019-01-02 |
| 1427533033 | Hughes N Hughes | Custodial Care Facility | 3700 N 60th St, Milwaukee, WI 53216-2131 | 2018-09-28 |
| 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.