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OCONOMOWOC HOME HEALTH CARE, LLC
NPI 1568440998
Home Health in Oconomowoc, WI

Active since January 05, 2006
1746 EXECUTIVE DR, OCONOMOWOC, WI 53066(262) 569-5520(262) 569-6339 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Oconomowoc Home Health Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OCONOMOWOC HOME HEALTH CARE, LLC (NPI 1568440998) is a healthcare organization registered as a home health in Oconomowoc, Wisconsin and active in the NPI registry since January 2006. The organization lists Richard Summers Macnally, Director, as its authorized official.

NPPES Registry Identity

NPI1568440998
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameOCONOMOWOC HOME HEALTH CARE, LLC
Location Address1746 EXECUTIVE DROconomowoc, WI 53066-4830
Mailing AddressPo Box 278Dousman, WI 53118-0278 · (262) 569-5520 · Fax (262) 569-6339
Phone(262) 569-5520
Fax(262) 569-6339
Organization SubpartNo
Authorized OfficialRichard Summers MacnallyDirector · (262) 569-5520
Enumeration DateJanuary 5, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1568440998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in WI · 1025
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1746 EXECUTIVE DR, Oconomowoc, WI 53066
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Other Identifiers 2

Medicaid41537600WI
Other1025WI · Home Health License

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMIE JABANG APNP
Nurse Practitioner (Family)
1746 EXECUTIVE DR
OCONOMOWOC, WI 53066
Waukesha County (262) 569-5515

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oconomowoc Home Health Care, LLC's NPI number?

The NPI number for Oconomowoc Home Health Care, LLC is 1568440998. It was assigned to this organization in the NPPES registry on January 5, 2006.

Where is Oconomowoc Home Health Care, LLC located?

Oconomowoc Home Health Care, LLC is located at 1746 Executive Dr, Oconomowoc, WI 53066. The listed phone number is (262) 569-5520.

What is Oconomowoc Home Health Care, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Oconomowoc Home Health Care, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.