NPI 1790420503 · live from the CMS NPI Registry
In Home Health, LLC
Internal Medicine, Hospice and Palliative Medicine in Madison, WI. National Provider Identifier 1790420503, active.
NPI record
| NPI | 1790420503 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Hospice and Palliative Medicine 207RH0002X |
| Practice location | 2801 Crossroads Dr Ste 200, Madison, WI 53718 |
| Practice phone | 608-819-0033 |
| Mailing address | Po Box 10086, Toledo, OH 43699 |
| Enumerated | May 5, 2022 |
| Last updated | May 5, 2022 |
| Authorized official | Martin Allen, Sole Director |
| Other names | Promedica Hospice (Madison) |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Hospice and Palliative Medicine primary | 207RH0002X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.