Healthcare Provider Details

I. General information

NPI: 1396546800
Provider Name (Legal Business Name): WISCONSIN CARE SOLUTIONS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 JANA LN
MADISON WI
53704-7840
US

IV. Provider business mailing address

804 JANA LN
MADISON WI
53704-7840
US

V. Phone/Fax

Practice location:
  • Phone: 669-292-9970
  • Fax: 608-299-2158
Mailing address:
  • Phone: 669-292-9970
  • Fax: 608-299-2158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SAID M YUSSUF
Title or Position: ADMINISTRATOR
Credential:
Phone: 669-292-9970