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MED GROUP HOME HEALTH CARE AGENCY
NPI 1609147958
Home Health in Mequon, WI

Active since January 18, 2012
11402 N PORT WASHINGTON RD, SUITE 214 B, MEQUON, WI 53092(414) 755-2009(414) 755-1767 Get Directions Write a Review

NPPES record last updated: September 25, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Med Group Home Health Care Agency NPPES

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

MED GROUP HOME HEALTH CARE AGENCY (NPI 1609147958) is a healthcare organization registered as a home health in Mequon, Wisconsin and active in the NPI registry since January 2012. The organization lists Dariko Mekvabishvili, President, as its authorized official.

NPPES Registry Identity

NPI1609147958
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMED GROUP HOME HEALTH CARE AGENCY
Location Address11402 N PORT WASHINGTON RD, SUITE 214 BMequon, WI 53092-3447
Mailing Address2111 N Dr Martin Luther King DrMilwaukee, WI 53212-3101 · (414) 755-2103 · Fax (414) 755-1784
Phone(414) 755-2009
Fax(414) 755-1767
Organization SubpartNo
Authorized OfficialDariko MekvabishviliPresident · (414) 745-3146
Enumeration DateJanuary 18, 2012
Last NPPES UpdateSeptember 25, 2014
✔ NPI 1609147958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
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.
11402 N PORT WASHINGTON RD, Mequon, WI 53092
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Other Providers at the Same Location NPPES 3

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

KATIE LYNN SOJA DPT
Physical Therapist
11402 N PORT WASHINGTON RD
MEQUON, WI 53092
Ozaukee County (262) 306-6319
MED GROUP MEDICAL SUPPLIES, LLC
Durable Medical Equipment & Medical Supplies
11402 N PORT WASHINGTON RD, SUITE 215
MEQUON, WI 53092
Ozaukee County (414) 745-3146
DR. JOHN HENRY ETZWEILER D.C.
Chiropractor
11402 N PORT WASHINGTON RD, SUITE 105
MEQUON, WI 53092
Ozaukee County (262) 241-4647

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 Med Group Home Health Care Agency's NPI number?

The NPI number for Med Group Home Health Care Agency is 1609147958. It was assigned to this organization in the NPPES registry on January 18, 2012.

Where is Med Group Home Health Care Agency located?

Med Group Home Health Care Agency is located at 11402 N Port Washington Rd Suite 214 B, Mequon, WI 53092. The listed phone number is (414) 755-2009.

What is Med Group Home Health Care Agency'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 Med Group Home Health Care Agency was last updated on September 25, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.