PROHEALTH HOME CARE INC (NPI# 1497720767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497720767 |
| Entity Type | Organization |
| Organization Name | PROHEALTH HOME CARE INC |
| Practice Address |
2000 Pewaukee Rd C Waukesha WI 53188 |
| Practice Telephone | 2629287444 |
| Practice Fax Number | 2629287446 |
| Mailing Telephone | 2629287444 |
| Mailing Fax Number | 2629287446 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2016-04-20 |
| Authorized Official Name | MR. THOMAS W JOHNSON (REIMBURSEMENT MANAGER) |
| Authorized Official Telephone | 2629284704 |
| 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 | 41515100 | 05 | |
| WI | UNITED HEALTH CARE | 6001234 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700301124 | Prohealth Home Care Inc | Home Health | 1450 Neotomas Ave Ste 130a, Santa Rosa, CA 95405-7575 | 2017-08-07 |
| 1497284145 | Prohealth Home Care Inc | Hospice Care, Community Based | 1375 Exposition Blvd Suite 250b, Sacramento, CA 95815 | 2017-06-07 |
| 1740403021 | Prohealth Home Care Inc | Home Health | 441 Tomlinson Rd, Unit D-6, Philadelphia, PA 19116-3221 | 2007-04-11 |
| 1689943243 | Prohealth Home Care Inc | Hospice Care, Community Based | 1990 N California Blvd, Suite 755, Walnut Creek, CA 94596-3742 | 2011-12-27 |
| Street Address |
2000 PEWAUKEE RD C |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| 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 |
|---|---|---|---|---|
| 1639779754 | Wisconsin Independent Living Solutions LLC | Home Health | 817 Colton St, Waukesha, WI 53186-5126 | 2020-10-28 |
| 1104327535 | Moeneek Cannaday | Home Health | 804 Clinton St, Waukesha, WI 53186-4797 | 2018-02-21 |
| 1588189005 | Mellie & Lillian's Home Health Care Services LLC | Home Health | 1226 E Moreland Blvd, Waukesha, WI 53186-2553 | 2017-08-04 |
| 1811322761 | Elite Home Care Agency LLC | Home Health | 2108 Mac Arthur Rd, #4, Waukesha, WI 53188-5686 | 2013-09-11 |
| 1972786473 | Christian Assisted Living LLC | Home Health | 261 W Main St Ste A, Waukesha, WI 53186-4623 | 2007-12-07 |
| 1144250952 | Lutheran Social Services of Wisconsin and Upper Michigan Inc | Home Health | 2000 W Bluemound Rd, Waukesha, WI 53186-2787 | 2006-07-04 |
| 1992312946 | Independence Plus- Wi, LLC | Home Health | N19w24400 Riverwood Dr Ste 350, Waukesha, WI 53188-1182 | 2020-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245561 | Comfort Care 4 U, LLC | Home Health | 7701 Mineral Point Rd Ste A, Madison, WI 53717-2027 | 2020-11-04 |
| 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 |
| 1891306981 | North Star Home Health LLC | Home Health | N7247 Whitetail Ln, Princton, WI 54968 | 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.