ST. CAMILLUS HEALTH CENTER, INC. (NPI# 1407922776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407922776 |
| Entity Type | Organization |
| Organization Name | ST. CAMILLUS HEALTH CENTER, INC. |
| Other Organization Name | CAMILLUS CARES HOME HEALTH AGENCY |
| Practice Address |
10101 W Wisconsin Ave Wauwatosa WI 53226-4814 |
| Practice Telephone | 4142582418 |
| Practice Fax Number | 4142594534 |
| Mailing Telephone | 4142582418 |
| Mailing Fax Number | 4142594534 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | MS. SUE SERENO (DIRECTOR) |
| Authorized Official Telephone | 4142582418 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 148 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41512800 | 05 |
| Other Name | Type Code |
|---|---|
| Camillus Cares Home Health Agency | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952300543 | St. Camillus Health Center, Inc. | Skilled Nursing Facility | 447 Hill St, Whitinsville, MA 01588-1016 | 2005-07-18 |
| 1366690679 | St. Camillus Health Center, Inc. | Hospice Care, Community Based | 10101 W Wisconsin Ave, Wauwatosa, WI 53226-4861 | 2008-08-29 |
| 1609937788 | St. Camillus Health Center, Inc. | Skilled Nursing Facility | 10101 W Wisconsin Ave, Wauwatosa, WI 53226-4814 | 2006-12-13 |
| Street Address |
10101 W WISCONSIN AVE |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226-4814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184261943 | Logan Alexander Sarge | Physical Medicine & Rehabilitation | 10101 W Wisconsin Ave, Wauwatosa, WI 53226-4861 | 2019-11-28 |
| 1063919934 | Advanced Wound Care Solutions LLC | Surgery | 10101 W Wisconsin Ave, Wauwatosa, WI 53226-4861 | 2018-04-09 |
| 1558880864 | Ross George | Physical Therapy Assistant | 10101 W Wisconsin Ave, Wauwatosa, WI 53226-4861 | 2017-09-18 |
| 1427471614 | Anna Lombardo | Speech-Language Pathologist | 10101 W Wisconsin Ave, Wauwatosa, WI 53226-4861 | 2014-01-24 |
| 1053562983 | Sarah Klewin | Physical Therapy Assistant | 10101 W Wisconsin Ave, Wauwatosa, WI 53226-4861 | 2008-10-09 |
| 1366690679 | St. Camillus Health Center, Inc. | Hospice Care, Community Based | 10101 W Wisconsin Ave, Wauwatosa, WI 53226-4861 | 2008-08-29 |
| 1104092485 | Bekki Lynn Schnoll | Occupational Therapist | 10101 W Wisconsin Ave, Wauwatosa, WI 53226-4861 | 2008-05-06 |
| 1821264128 | Gail E Grahn | Physical Therapy Assistant | 10101 W Wisconsin Ave, Wauwatosa, WI 53226-4861 | 2008-05-06 |
| 1912173444 | Richard Peter Schultz | Physical Therapist | 10101 W Wisconsin Ave, Wauwatosa, WI 53226-4861 | 2008-05-05 |
| 1740456219 | Karen L Barnes | Physical Therapist | 10101 W Wisconsin Ave, Wauwatosa, WI 53226-4861 | 2008-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| 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 |
|---|---|---|---|---|
| 1578188348 | Derek J Holmes | Home Health | 10111 W Capitol Dr Ste 8, Wauwatosa, WI 53222-1335 | 2020-06-08 |
| 1912538679 | Premier Personal Care Agency LLC | Home Health | 10520 W Bluemound Rd Ste 105, Suite #105, Wauwatosa, WI 53226-4484 | 2020-01-31 |
| 1346881455 | Blessit Hands Personal Care Agency | Home Health | 7332 W State St # 2, Wauwatosa, WI 53213-2766 | 2019-10-01 |
| 1023582897 | Devoted Personal Care, LLC | Home Health | 9730 W Bluemound Rd Ste 4, Wauwatosa, WI 53226-4463 | 2019-01-15 |
| 1306347158 | Profound Home Health Care | Home Health | 12201 W Burleigh St Ste 10, Wauwatosa, WI 53222-3102 | 2018-02-27 |
| 1730699489 | Living Insight Supportive Services LLC | Home Health | 12201 W North Ave Ste 102b, Wauwatosa, WI 53226-2061 | 2017-10-09 |
| 1801310800 | Divine Pathways | Home Health | 10111 W Capitol Dr Ste 4, Wauwatosa, WI 53222-1335 | 2017-08-01 |
| 1588190185 | Living Well Home Health Care | Home Health | 7251 W North Ave Ste 10, Wauwatosa, WI 53213-1851 | 2017-05-03 |
| 1528420247 | Compassionate Personal Care Services,llc | Home Health | 2645 N Mayfair Rd Ste 120, Wauwatosa, WI 53226-1304 | 2016-03-22 |
| 1861852618 | Legacy Home Healthcare LLC | Home Health | 6410 W North Ave, Wauwatosa, WI 53213-2015 | 2016-03-07 |
| Find all providers in WAUWATOSA | ||||
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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.