Healthcare Provider Details

I. General information

NPI: 1790842391
Provider Name (Legal Business Name): DOWN HOME NURSING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 04/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7948 COUNTY ROAD A
ALMOND WI
54909-9556
US

IV. Provider business mailing address

7948 COUNTY ROAD A
ALMOND WI
54909-9556
US

V. Phone/Fax

Practice location:
  • Phone: 715-366-8277
  • Fax: 715-366-8278
Mailing address:
  • Phone: 715-366-8277
  • Fax: 715-366-8278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateWI

VIII. Authorized Official

Name: MRS. RUBY PATRICIA RAJKOWSKI
Title or Position: OWNER
Credential: RN
Phone: 715-366-8277