NPI 1043250558 · live from the CMS NPI Registry
In Home Health LLC
Hospice Care, Community Based in Milwaukee, WI. National Provider Identifier 1043250558, active.
NPI record
| NPI | 1043250558 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 10200 W Innovation Dr Ste 400, Milwaukee, WI 53226 |
| Practice phone | 414-944-2000 |
| Mailing address | 333 N Summit St, Toledo, OH 43604 |
| Enumerated | June 7, 2006 |
| Last updated | April 14, 2022 |
| Authorized official | Martin Allen, Director |
| Other names | Promedica Hospice (Milwaukee); Promedica Hospice (Kenosha) |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | — |
| Hospice Care, Community Based primary | 251G00000X | 2003 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.