HOSPICE ADVANTAGE, LLC (NPI# 1487608063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487608063 |
| Entity Type | Organization |
| Organization Name | HOSPICE ADVANTAGE, LLC |
| Other Organization Name | HOSPICE ADVANTAGE, INC |
| Practice Address |
1155 Quail Ct Pewaukee WI 53072-3780 |
| Mailing Address |
401 Center Ave Bay City MI 48708-5962 |
| Practice Telephone | 2627869002 |
| Practice Fax Number | 2627869003 |
| Mailing Telephone | 9898912206 |
| Mailing Fax Number | 9898935268 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2013-01-15 |
| Authorized Official Name | KAYANNE MYNSBERGE (COO) |
| Authorized Official Telephone | 2627869002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43114300 | 05 |
| Other Name | Type Code |
|---|---|
| Hospice Advantage, Inc | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912592 | Hospice Advantage, LLC | Internal Medicine | 801 S Waverly Rd Ste 200, Lansing, MI 48917-4200 | 2020-11-02 |
| 1396205696 | Hospice Advantage, LLC | Internal Medicine | 107 Southern Blvd Ste 203, Savannah, GA 31405-7435 | 2019-03-22 |
| 1992261838 | Hospice Advantage, LLC | Nurse Practitioner | 100 Crescent Center Pkwy Ste 220, Tucker, GA 30084-7049 | 2019-02-15 |
| 1518062579 | Hospice Advantage, LLC | Hospice Care, Community Based | 79 N Pioneer Rd, Fond Du Lac, WI 54935-9401 | 2006-09-14 |
| 1518071489 | Hospice Advantage, LLC | Home Health | 3217 W M 76 Ste B, West Branch, MI 48661 | 2006-08-18 |
| 1750494514 | Hospice Advantage, LLC | Hospice Care, Community Based | 220 N State Route 7, Pleasant Hill, MO 64080-1426 | 2006-08-16 |
| 1558305334 | Hospice Advantage, LLC | Hospice Care, Community Based | 100 Crescent Center Pkwy, Suite 220, Tucker, GA 30084-7060 | 2006-06-15 |
| 1497709802 | Hospice Advantage, LLC | Hospice Care, Community Based | 300 Chastain Center Blvd, Suite 345, Kennesaw, GA 30144-5557 | 2006-05-20 |
| 1548236557 | Hospice Advantage, LLC | Hospice Care, Community Based | 801 S Waverly Rd, Suite 200, Lansing, MI 48917-5202 | 2006-02-28 |
| 1275513608 | Hospice Advantage, LLC | Home Health | 1309 S Linden Rd, Suite B, Flint, MI 48532-3443 | 2006-01-20 |
| Street Address |
1155 QUAIL CT |
| City | PEWAUKEE |
| State | WI |
| Zip Code | 53072-3780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457662074 | Children's Medical Group | Pediatrics | 1155 Quail Ct, Pewaukee, WI 53072-3780 | 2010-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740805423 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 209 Pewaukee Rd, Pewaukee, WI 53072 | 2020-06-09 |
| 1871122556 | Mary Kofigah | Nurse Practitioner | 21150 W. Capital Dr., Brookfield, WI 53072 | 2020-04-05 |
| 1609436559 | Brianna Kelly Bates | Optometrist | 1440 Capitol Drive, Suite B, Pewaukee, WI 53072 | 2019-06-13 |
| 1932767316 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1440 Capital Drive, Suite B, Pewaukee, WI 53072 | 2019-05-31 |
| 1417426925 | Edward Dow | Psychologist | W268n1988 Shooting Star Road, Pewaukee, WI 53072 | 2018-11-14 |
| 1346664869 | Jane Sweney | Counselor | 325 Forest Grove Drive, Pewaukee, WI 53072 | 2014-02-05 |
| 1093082182 | Kristin Elizabeth Thieneman | Pharmacist | 443 Pewaukee Road, Pewaukee, WI 53072 | 2011-11-17 |
| 1922318393 | Ariane Machin | Psychologist | 161 W. Wisconsin Ave #2b, Pewaukee, WI 53072 | 2010-10-19 |
| 1083930879 | Scott Robert Borkenhagen | Student in an Organized Health Care Education/Training Program | 384 Willow Grove Dr., Unit D, Pewaukee, WI 53072 | 2010-04-19 |
| 1912174988 | Robert Thomas Lynch | Dentist | 234 Oakton Ave, Pewaukee, WI 53072 | 2008-05-09 |
| Find all providers in zip 53072 | ||||
| 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 |
|---|---|---|---|---|
| 1235596289 | Jnmj LLC | Home Health | N27w23960 Paul Rd, Suite 200, Pewaukee, WI 53072-6218 | 2016-01-21 |
| 1326471301 | Firstech, Inc. D.b. A. Firstmed Staffing | Home Health | 353 Forest Grove Dr Ste 200, Pewaukee, WI 53072-3765 | 2013-08-14 |
| 1598076911 | Accessible Healthcare, Inc | Home Health | N27w23960 Paul Rd Ste 200, Pewaukee, WI 53072-6233 | 2010-06-30 |
| 1730688615 | Living Assistance Waukesha LLC | Home Health | 120 Park Ave, Pewaukee, WI 53072-3410 | 2018-02-06 |
| 1710426028 | Living Assistance, Inc | Home Health | 347 Park Ave, Pewaukee, WI 53072-3413 | 2017-02-20 |
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|---|---|---|---|---|
| 1386245561 | Comfort Care 4 U, LLC | Home Health | 7701 Mineral Point Rd Ste A, Madison, WI 53717-2027 | 2020-11-04 |
| 1639779754 | Wisconsin Independent Living Solutions LLC | Home Health | 817 Colton St, Waukesha, WI 53186-5126 | 2020-10-28 |
| 1821698341 | Jaqualynne Postuchow | Home Health | 8739 Smith St, Sayner, WI 54560-9696 | 2020-10-26 |
| 1467068767 | Lashonda Nicole Simmons | Home Health | 24th Street, 1812 North, Milwaukee, WI 53205-1410 | 2020-09-22 |
| 1124634332 | Nehemiah House, LLC | Home Health | 3901 N 21st Street, Milwaukee, WI 53206 | 2020-09-22 |
| 1699389593 | Infinity Care Services LLC | Home Health | 9203 W Bluemound Rd Ste A, Milwaukee, WI 53226-4484 | 2020-09-08 |
| 1982218426 | Homecare Pal, LLC | Home Health | 2916 Marketplace Dr Ste 209, Fitchburg, WI 53719-5327 | 2020-09-02 |
| 1366053118 | Adron Health Care, LLC | Home Health | 9117 S 20th St, Oak Creek, WI 53154-7465 | 2020-08-14 |
| 1790396521 | Faithful Living Home Health Care Agency LLC | Home Health | 3846 W Wisconsin Ave Apt 110, Milwaukee, WI 53208-3175 | 2020-08-14 |
| 1770194847 | Faithful Hands PCa LLC | Home Health | 8008 W Capitol Dr, Milwaukee, WI 53222-1918 | 2020-08-12 |
| 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.