Healthcare Provider Details

I. General information

NPI: 1265127047
Provider Name (Legal Business Name): HOMEAID HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2023
Last Update Date: 04/07/2023
Certification Date: 04/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W EDISON AVE STE 253
APPLETON WI
54915-1353
US

IV. Provider business mailing address

101 W EDISON AVE STE 253
APPLETON WI
54915-1353
US

V. Phone/Fax

Practice location:
  • Phone: 920-637-4486
  • Fax:
Mailing address:
  • Phone: 920-637-4486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: KATE MCCARTHY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 920-637-4486