JUSTIN C BRONDSTAD AT YOUR SERVICE LLC (NPI# 1174178040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174178040 |
Entity Type | Organization |
Organization Name | JUSTIN C BRONDSTAD AT YOUR SERVICE LLC |
Practice Address |
1215 W Cramer St Fort Atkinson WI 53538-1001 |
Practice Telephone | 6084511708 |
Mailing Telephone | 6084511708 |
Enumeration Date | 2019-08-07 |
Last Update Date | 2019-08-07 |
Authorized Official Name | JUSTIN C BRONDSTAD (OWNER/OPERATOR) |
Authorized Official Telephone | 6084511708 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305S00000X | Point of Service | Managed Care Organizations |
Street Address |
1215 W CRAMER ST |
City | FORT ATKINSON |
State | WI |
Zip Code | 53538-1001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902370695 | Home Care Assistance Services, LLC | In Home Supportive Care | 1001 Madison Avenue, Suite C, Fort Atkinson, WI 53538 | 2019-01-15 |
1609367291 | David Lewis | Physical Therapy Assistant | 431 Raintree Dr, Fort Atkinson, WI 53538 | 2018-05-20 |
1972093706 | City of Fort Atkinson | Ambulance | 124 Milwaukee Ave W, Fort Atkinson, WI 53538 | 2018-05-17 |
1306383468 | Chelsey Turk | Specialist/Technologist | 1231 Orchard Lane, Fort Atkinson, WI 53538 | 2017-01-27 |
1639625452 | Insight Counseling Services | Community/Behavioral Health | 615 Frederick Ave., Fort Atkinson, WI 53538 | 2016-08-31 |
1912355314 | Melissa Anne Gleason Trimbell | Dentist | 520 Handeyside Ln Ste 4, Fort Atkinson, WI 53538 | 2016-05-26 |
1295141943 | Brittany K Romans | Registered Nurse | 1230 Commonwealth Dr, 1, Fort Atkinson, WI 53538 | 2014-07-02 |
1023367117 | June Ann Sullivan | Occupational Therapy Assistant | 815 West Cramer Street, Fort Atkinson, WI 53538 | 2012-09-05 |
1306080551 | Mary Kathleen Bornick | Licensed Practical Nurse | W. 6143 N. Thornapple Court, Fort Atkinson, WI 53538 | 2009-04-30 |
1528244613 | Community Dental Clinic | Clinic/Center | 520 Handeyside, Suite 4, Fort Atkinson, WI 53538 | 2008-01-18 |
Find all providers in zip 53538 |
Taxonomy Code | 305S00000X |
Grouping | Managed Care Organizations |
Classification | Point of Service |
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477192359 | I'm A Star Youth and Family Services Inc | Point of Service | 4007 W North Ave, Milwaukee, WI 53208-1318 | 2019-12-25 |
1417436528 | Hayworth Fence Co | Point of Service | 720 N Hillcrest Pkwy, Altoona, WI 54720-2702 | 2018-08-09 |
1194269407 | Checkpoint Industries | Point of Service | 8330 N Teutonia Ave, 103, Brown Deer, WI 53209-1550 | 2016-12-06 |
1649726837 | Alahnui Health Services LLC | Point of Service | 9000 W Kaul Ave, Milwaukee, WI 53225-2018 | 2016-08-29 |
1437524485 | Christopher Gunderson | Point of Service | 911 Jackson St # 213, Wausau, WI 54403-5696 | 2015-12-02 |
1235502493 | The Smith LLC | Point of Service | 9545 S 20th St Ste 2, Oak Creek, WI 53154-4929 | 2015-11-09 |
1992185631 | Care for All Ages | Point of Service | 1308 S Norwood Ave, Green Bay, WI 54304-1001 | 2015-06-08 |
1467847509 | Health Grades | Point of Service | 2927 Coho St, Madison, WI 53713-3069 | 2015-04-06 |
1326449604 | Soul To Soul Massage LLC | Point of Service | 604 E 3rd St, Marshfield, WI 54449-4511 | 2014-09-05 |
1558702233 | Mary L. Feltz | Point of Service | 5958 Main St, Auburndale, WI 54412-9004 | 2013-07-10 |
Find all providers with the same taxonomy |
City | FORT ATKINSON |
Zip Code | 53538 |
Please comment or provide details below to improve the information on JUSTIN C BRONDSTAD AT YOUR SERVICE LLC.
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.