Healthcare Provider Details

I. General information

NPI: 1952917585
Provider Name (Legal Business Name): NEENY HOLDINGS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2020
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 PRAIRIE GRASS RD
OREGON WI
53575-3948
US

IV. Provider business mailing address

PO BOX 259
OREGON WI
53575-0259
US

V. Phone/Fax

Practice location:
  • Phone: 608-807-0776
  • Fax: 608-291-0209
Mailing address:
  • Phone: 608-807-0776
  • Fax: 608-291-0209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY N HIGGINS
Title or Position: PRESIDENT
Credential:
Phone: 608-220-7734