Healthcare Provider Details

I. General information

NPI: 1528994076
Provider Name (Legal Business Name): DNA HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2863 MORROW RD
OMRO WI
54963-9738
US

IV. Provider business mailing address

2863 MORROW RD
OMRO WI
54963-9738
US

V. Phone/Fax

Practice location:
  • Phone: 920-279-8042
  • Fax:
Mailing address:
  • Phone: 920-279-8042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: DOUGLAS LANGEBERG
Title or Position: OWNER
Credential: RN
Phone: 920-279-8042