MEDICARE: COMPASSION PERSONAL HOME CARE, LLC

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	251E00000X	Home Health Agency	200010309	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467726422
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSION PERSONAL HOME CARE, LLC

Provider Business Mailing Address
First Line	:	613 5TH ST
Second Line	:
City	:	WAUSAU
State	:	WI
Zip	:	54403-4836
Country	:	US
Telephone Number	:	715-212-2192
Fax Number	:

Provider Business Practice Location Address
First Line	:	613 5TH ST
Second Line	:
City	:	WAUSAU
State	:	WI
Zip	:	54403-4836
Country	:	US
Telephone Number	:	715-212-2192
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MIKE LO
Credential	:
Telephone Number	:	715-212-2192

Provider Enumeration Date	:	03/07/2012
Last Update Date	:	04/05/2012

Similar Medicare Providers

1508637265 — WAUSAU SPINE & REHAB LLC
Practice Location Address:

613 N 5TH ST STE 103
WAUSAU, WI
54403-4836

Practice Phone: 715-870-2222
Practice Fax:

1720883424 — STEPHANIE FAY MS CCC-SLP
Practice Location Address:

2203 MIDWAY BLVD
WAUSAU, WI
54403-6951

Practice Phone: 715-581-7833
Practice Fax:

1306709696 — MARATHON COUNTY
Practice Location Address:

1100 LAKE VIEW DR STE 600
WAUSAU, WI
54403-6191

Practice Phone: 715-261-6059
Practice Fax:

1912903303 — DR. THOMAS JOHN NICK D.D.S.
Practice Location Address:

630 1ST ST
WAUSAU, WI
54403-4851

Practice Phone: 715-842-0314
Practice Fax: 715-842-5565

1902889710 — LUIS C GALANG D.O.
Practice Location Address:

800 1ST ST
WAUSAU, WI
54403-4754

Practice Phone: 715-261-8500
Practice Fax: 715-261-8671

1619950425 — DR. MATTHEW G. HATTENHAUER M.D.
Practice Location Address:

800 N 1ST ST
WAUSAU, WI
54403-4754

Practice Phone: 715-261-8500
Practice Fax: 715-261-8667

Directions to “COMPASSION PERSONAL HOME CARE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.