Healthcare Provider Details

I. General information

NPI: 1588453674
Provider Name (Legal Business Name): HEALING HOME HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6601 JACOBS WAY
MADISON WI
53711-6302
US

IV. Provider business mailing address

6601 JACOBS WAY
MADISON WI
53711-6302
US

V. Phone/Fax

Practice location:
  • Phone: 701-630-9273
  • Fax:
Mailing address:
  • Phone: 701-630-9273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State

VIII. Authorized Official

Name: MR. ADEN MUSE ADEN
Title or Position: OWNER
Credential:
Phone: 701-630-9273