AGNESIAN HEALTHCARE ENTERPRISES LLC (NPI# 1184699704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184699704 |
| Entity Type | Organization |
| Organization Name | AGNESIAN HEALTHCARE ENTERPRISES LLC |
| Other Organization Name | AGNESIAN HOME OXYGEN |
| Practice Address |
239 Trowbridge Dr Fond Du Lac WI 54937-9180 |
| Mailing Address |
239 Trowbridge Dr Po Box 1031 Fond Du Lac WI 54937-9180 |
| Practice Telephone | 9209075364 |
| Practice Fax Number | 9209237957 |
| Mailing Telephone | 9209075364 |
| Mailing Fax Number | 9209237957 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2008-04-20 |
| 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 | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | HIRSP | 41739100 | 01 |
| WI | WI CHRONIC DISEASE PROGRA | 41739100 | 01 |
| WI | 41739100 | 05 |
| Other Name | Type Code |
|---|---|
| Agnesian Home Oxygen | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366417917 | Agnesian Healthcare Enterprises LLC | Pharmacy | 904 W Main St, Waupun, WI 53963-1201 | 2006-02-17 |
| 1912972613 | Agnesian Healthcare Enterprises LLC | Durable Medical Equipment & Medical Supplies | 307 Camelot Dr, Fond Du Lac, WI 54935-8014 | 2006-02-17 |
| 1326013962 | Agnesian Healthcare Enterprises LLC | Pharmacy | 912 S Hickory St, Fond Du Lac, WI 54935-5530 | 2006-02-17 |
| 1659346286 | Agnesian Healthcare Enterprises LLC | Pharmacy | 730 N Margaret St, Markesan, WI 53946-8688 | 2006-02-17 |
| 1174145031 | Agnesian Healthcare Enterprises LLC | Pharmacy | 904 W Main St, Waupun, WI 53963-1201 | 2020-05-14 |
| 1235519455 | Agnesian Healthcare Enterprises LLC | Pharmacy | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2015-06-03 |
| 1104891746 | Agnesian Healthcare Enterprises LLC | Pharmacy | 145 N Main St, Fond Du Lac, WI 54935-3423 | 2006-02-17 |
| 1962477588 | Agnesian Healthcare Enterprises LLC | Pharmacy | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2006-02-17 |
| 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 |
| 1861467144 | Agnesian Healthcare, Inc | Home Health | 239 Trowbridge Dr, Fond Du Lac, WI 54937-9180 | 2006-02-21 |
| 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 | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275516882 | In-home Oxygen & Dme, LLC | Durable Medical Equipment & Medical Supplies | 15 Guindon Blvd, Fond Du Lac, WI 54935-5840 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346804770 | Chartwell Midwest Wisconsin, LLC | Durable Medical Equipment & Medical Supplies | 5249 E Terrace Dr Rm 1201, Madison, WI 53718-8339 | 2019-05-01 |
| 1134782964 | Chartwell Midwest Wisconsin, LLC | Durable Medical Equipment & Medical Supplies | 1345 Deming Way Ste 102, Middleton, WI 53562-3688 | 2019-04-17 |
| 1306324694 | Erickson Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 325 N Sawyer St, Oshkosh, WI 54902-4252 | 2018-07-30 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1063928208 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 2885 N Mayfair Rd Ste 2, Wauwatosa, WI 53222-4404 | 2017-12-26 |
| 1831536267 | Family Medical Supply and Cpap Store Inc | Durable Medical Equipment & Medical Supplies | 705 State St, La Crosse, WI 54601-3344 | 2013-05-24 |
| 1740522945 | Metz Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1801 S Green Bay Rd, Racine, WI 53406-4605 | 2013-03-26 |
| 1275778078 | Guardian Homes, Inc. | Durable Medical Equipment & Medical Supplies | 10231 Penny Lake Rd, Rosholt, WI 54473-8862 | 2008-12-08 |
| 1659537157 | Rapid Rehab, LLC | Durable Medical Equipment & Medical Supplies | 1853 N Stevens St, Suite B, Rhinelander, WI 54501-2163 | 2008-08-04 |
| 1164694923 | Home Medical Products and Services, LLC | Durable Medical Equipment & Medical Supplies | 8668 Highway 51 N, Minocqua, WI 54548-9334 | 2008-04-01 |
| 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 ENTERPRISES 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.