Healthcare Provider Details

I. General information

NPI: 1558733097
Provider Name (Legal Business Name): RESPITECARE-CARE IN THE HOME, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2015
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10505 CORPORATE DR SUITE 102
PLEASANT PRAIRIE WI
53158-1605
US

IV. Provider business mailing address

1926 WAUKEGAN RD STE 2
GLENVIEW IL
60025-1770
US

V. Phone/Fax

Practice location:
  • Phone: 262-857-3705
  • Fax: 262-857-2688
Mailing address:
  • Phone: 847-256-1705
  • Fax: 847-256-1770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateWI

VIII. Authorized Official

Name: MRS. TRACY KELLY
Title or Position: PRESIDENT/ADMINISTRATOR
Credential:
Phone: 847-256-1705