Healthcare Provider Details

I. General information

NPI: 1144318718
Provider Name (Legal Business Name): VISITING NURSE COMMUNITY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 52ND ST SUITE 300
KENOSHA WI
53140-3423
US

IV. Provider business mailing address

600 52ND ST SUITE 300
KENOSHA WI
53140-3423
US

V. Phone/Fax

Practice location:
  • Phone: 262-656-8400
  • Fax: 262-656-8406
Mailing address:
  • Phone: 262-656-8400
  • Fax: 262-656-8406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateIL

VIII. Authorized Official

Name: DEBRA JENE HERTZBERG
Title or Position: PRESIDENT
Credential:
Phone: 262-656-8400