MEDICARE: AS YOU WISH HOME SERVICES

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	251E00000X	WI

General Provider Information

NPI Number	:	1699819243
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AS YOU WISH HOME SERVICES

Provider Business Mailing Address
First Line	:	711 LOIS DR
Second Line	:
City	:	SUN PRAIRIE
State	:	WI
Zip	:	53590-1177
Country	:	US
Telephone Number	:	608-834-9989
Fax Number	:	608-825-7551

Provider Business Practice Location Address
First Line	:	712 LOIS DR
Second Line	:
City	:	SUN PRAIRIE
State	:	WI
Zip	:	53590-1100
Country	:	US
Telephone Number	:	608-834-9989
Fax Number	:	608-825-7551

Authorized Official
Title or Position	:	DIRECTOR OWNER
Name	:	MRS. BARBARA JO BROOKS
Credential	:
Telephone Number	:	608-834-9989

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	08/22/2020

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