Eternity Homecare, Inc.

LBN: Eternity Homecare, Inc.
Eternity Homecare, Inc. is an health care organization with primary practice located at 1402 Greenway Cross Suite 101, Madison WI 53713-3181. The organization recently has 9 registered licenses in different health care specialties including Agencies / Local Education Agency (LEA), Agencies / Case Management, Agencies / Home Health, Agencies / Home Infusion, Agencies / Nursing Care, Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, Agencies / In Home Supportive Care, Managed Care Organizations / Exclusive Provider Organization, Managed Care Organizations / Health Maintenance Organization. Agencies / Nursing Care is the primary health care specialty. Eternity Homecare, Inc. can be contacted via phone (608) 251-2273, or through Burnett, Kelly Kline via phone (608) 251-2273.

Contact Information

Primary practice address
1402 Greenway Cross Suite 101 Madison WI 53713-3181
Phone: (608) 251-2273
Fax: (866) 748-3232
Website:
Map and Directions
Authorized official contact:
Name: Burnett, Kelly Kline MBA
Phone: (608) 251-2273

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X
Agencies / Case Management 251B00000X 100014484 Wisconsin
Agencies / Case Management 251B00000X
Agencies / Home Health 251E00000X 100014484 Wisconsin
Agencies / Home Health 251E00000X
Agencies / Home Infusion 251F00000X
Agencies / Nursing Care 251J00000X
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X
Agencies / In Home Supportive Care 253Z00000X 100014484 Wisconsin
Agencies / In Home Supportive Care 253Z00000X
Managed Care Organizations / Exclusive Provider Organization 302F00000X
Managed Care Organizations / Health Maintenance Organization 302R00000X

Profile Details

NPI number 1528437498
LBN Legal business name Eternity Homecare, Inc.
DBA Doing business as
Authorized official Burnett, Kelly Kline MBA
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2015
Last updated Sep 21st, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528437498 NPPES
Wisconsin Other 1770996100 INDIVIDUAL NPI
Wisconsin MEDICAID 100014484 INDIVIDUAL NPI

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