MEDICARE: HHU XTRA CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1225181480
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HHU XTRA CARE, INC.

Provider Business Mailing Address
First Line	:	4639 HAMMERSLEY RD
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53711-2706
Country	:	US
Telephone Number	:	608-242-1516
Fax Number	:	608-242-1613

Provider Business Practice Location Address
First Line	:	2802 WALTON COMMONS LANE
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53718-6785
Country	:	US
Telephone Number	:	608-242-1516
Fax Number	:	608-242-1613

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	LYNNE WILLER
Credential	:
Telephone Number	:	608-241-6951

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	03/20/2025

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