=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952295917
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ORTIZ FAMILY AND CO LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/04/2025
-----------------------------------------------------
Last Update Date | 06/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3751 7TH ST S
-----------------------------------------------------
City | WISCONSIN RAPIDS
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54494-6503
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 657-922-3846
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3751 7TH ST S
-----------------------------------------------------
City | WISCONSIN RAPIDS
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54494-6503
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 657-922-3846
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | EMMAJEWEL MARIE CZLAPINSKI ORTIZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 657-922-3846
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------