FOND DU LAC COUNTY (NPI# 1679545917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679545917 |
| Entity Type | Organization |
| Organization Name | FOND DU LAC COUNTY |
| Other Organization Name | FOND DU LAC COUNTY HOME HEALTH |
| Practice Address |
160 S Macy St Fond Du Lac WI 54935-4241 |
| Practice Telephone | 9209293085 |
| Practice Fax Number | 9209293102 |
| Mailing Telephone | 9209293085 |
| Mailing Fax Number | 9209293102 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2013-02-21 |
| Authorized Official Name | KIMBERLY MUELLER (FOND DU LAC COUNTY HEALTH OFFICER) |
| Authorized Official Telephone | 9209293085 |
| Authorized Official Credential | RN, MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 54 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | HUMANA-LEXINGTON | 168758245450 | 01 |
| WI | 41522200 | 05 |
| Other Name | Type Code |
|---|---|
| FOND DU LAC COUNTY HOME HEALTH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003951468 | Fond Du Lac County | Skilled Nursing Facility | 459 East First Street, Fond Du Lac, WI 54935-4505 | 2007-02-21 |
| 1659358323 | Fond Du Lac County | Skilled Nursing Facility | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2005-12-23 |
| 1235252024 | Fond Du Lac County | Community/Behavioral Health | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2007-04-09 |
| 1053458935 | Fond Du Lac County | Community/Behavioral Health | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2007-01-31 |
| 1285606178 | Fond Du Lac County | Public Health or Welfare | 160 S Macy St, Fond Du Lac, WI 54935-4241 | 2006-02-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FOND DU LAC COUNTY HOUSING AUTHORITY | 15 N Marr St, Fond Du Lac, WI 54935-3463 |
| System for Award Management (SAM) Entities | FOND DU LAC COUNTY WI | 160 S Macy St, Fond Du Lac, WI 54935-4241 |
| Street Address |
160 S MACY ST |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935-4241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225668163 | Sara Aniceto | Counselor | 160 S Macy St, Fond Du Lac, WI 54935-4241 | 2020-01-20 |
| 1073821278 | Anita Lynn Behm | Dental Hygienist | 160 S Macy St, Health Department, Fond Du Lac, WI 54935-4241 | 2010-09-22 |
| 1720250491 | Samantha D Twohig | Dental Hygienist | 160 S Macy St, Health Dept, Fond Du Lac, WI 54935-4241 | 2008-04-02 |
| 1689872673 | Fond Du Lac County Department of Senior Services | Non-emergency Medical Transport (VAN) | 160 S Macy St, Fond Du Lac, WI 54935-4241 | 2007-07-11 |
| 1285606178 | Fond Du Lac County | Public Health or Welfare | 160 S Macy St, Fond Du Lac, WI 54935-4241 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| 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 |
|---|---|---|---|---|
| 1356904106 | Pinnacle Health Services | Home Health | 228 S Military Rd Ste 204, Fond Du Lac, WI 54935-4819 | 2019-04-17 |
| 1710296405 | Generations Home Care and Hospice Inc | Home Health | 1028 S Main St, Suite C, Fond Du Lac, WI 54935-6102 | 2010-09-29 |
| 1619928298 | In Home Health LLC | Home Health | 63 W Pioneer Rd, Fond Du Lac, WI 54935-6151 | 2006-05-16 |
| 1740626332 | Rehab Arisces Home Health Services | Home Health | 845 S Main St Ste 120, Fond Du Lac, WI 54935-6116 | 2013-05-22 |
| 1861467144 | Agnesian Healthcare, Inc | Home Health | 239 Trowbridge Dr, Fond Du Lac, WI 54937-9180 | 2006-02-21 |
| 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 |
| 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 | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
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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.