Promedica Hospice (Kenosha)

LBN: In Home Health Llc
Promedica Hospice (Kenosha) is an health care organization with primary practice located at 10200 W Innovation Dr Ste 400 , Milwaukee WI 53226-4826. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Agencies / Hospice Care, Community Based. Agencies / Hospice Care, Community Based is the primary health care specialty. In Home Health Llc can be contacted via phone (414) 944-2000, or through Allen, Martin David via phone (419) 252-5734.

Contact Information

Primary practice address
10200 W Innovation Dr Ste 400 Milwaukee WI 53226-4826
Phone: (414) 944-2000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Allen, Martin David
Phone: (419) 252-5734

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X
Agencies / Hospice Care, Community Based 251G00000X 2003 Wisconsin

Profile Details

NPI number 1043250558
LBN Legal business name In Home Health Llc
DBA Doing business as Promedica Hospice (Kenosha)
Authorized official Allen, Martin David
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2006
Last updated Apr 14th, 2022 - about 4 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 1043250558 NPPES
Wisconsin MEDICAID 43189100

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