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General NPI Number Information
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NPI Number | 1356316160
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Entity Type | Organization
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Legal Business Name | PROHEALTH HOME CARE, INC.
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | N17W24100 RIVERWOOD DR STE 200
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City | WAUKESHA
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State | WI
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Zip | 53188-1187
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Country | US
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Telephone | 262-928-7444
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Fax | 262-928-7446
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Provider Business Mailing Address
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Address Line | N17W24100 RIVERWOOD DR STE 200
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City | WAUKESHA
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State | WI
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Zip | 53188-1187
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Country | US
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Telephone | 262-928-7444
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Fax | 262-928-7446
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Authorized Official
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Title or Position | DIRECTOR, PROHEALTH HOME CARE, INC.
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Name | JILL M JOHNSTON
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Credential | RN, MBA
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Telephone | 262-928-8831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 527
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License Number State | WI
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