FOND DU LAC COUNTY HOME HEALTH
NPI 1679545917
Home Health in Fond Du Lac, WI


Overall Rating: 5 out of 5 stars

NPI Status: Active since February 02, 2006

Contact Information

160 S MACY ST
FOND DU LAC, WI
ZIP 54935
Phone: (920) 929-3085
Fax: (920) 929-3102

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  • Organization
  • Home Health
  • CLIA Number: 52D0674210
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 08-31-2026

About FOND DU LAC COUNTY HOME HEALTH

This page provides the complete NPI Profile along with additional information for Fond Du Lac County Home Health, a provider established in Fond Du Lac, Wisconsin operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1679545917 assigned on February 2006. The practitioner's primary taxonomy code is 251E00000X with license number 54 (WI). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Fond Du Lac County Home Health. The authorized official of this NPI record is Kimberly Mueller Rn, Msn (Fond Du Lac County Health Officer)

NPI
1679545917
Provider Legal Name
FOND DU LAC COUNTY
Other Organization Name
FOND DU LAC COUNTY HOME HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
160 S MACY ST FOND DU LAC, WI 54935
Location Phone
(920) 929-3085
Location Fax
(920) 929-3102
Mailing Address
160 S MACY ST FOND DU LAC, WI 54935
Mailing Phone
(920) 929-3085
Mailing Fax
(920) 929-3102
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-02-2006
Last Update Date
02-21-2013
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According to the Nursing Home Compare program data, Fond Du Lac County Home Health has a much above average overall quality rating based on the provider's performance on three separate measures including: health inspections, staffing, and quality of resident care information. These quality measures, combined in a star rating of 5 out of 5 stars provide a snapshot of this nursing home quality.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
License No.
54
License State
WI
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIMBERLY MUELLER RN, MSN

Authorized Official Title
FOND DU LAC COUNTY HEALTH OFFICER
Authorized Official Phone
(920) 929-3085

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
168758245450OTHER (01)KYHUMANA-LEXINGTON
=========010OTHER (01)WIBLUE CROSS BLUE SHIELD
527070MEDICARE ID-TYPE UNSPECIFIED (04)WI 
41522200MEDICAID (05)WI 
=========BOTHER (01)WIFEDERAL DEPT VA-MILWAUKEE

Nursing Home Quality Information

The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.

Overall Quality Rating - 5 out of 5 stars - Much Above Average
The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
Health Inspection RatingNot Available
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
Quality Measures Rating - 3 out of 5 stars - Average
The quality measures star rating is based on data from a select set of clinical measures.
Long-Stay Quality Measures Rating - 3 out of 5 stars - Average
The long-stay quality of care rating is based on the quality of care delivered to long-term residents only.
Short-Stay Quality Measures Rating - 4 out of 5 stars - Above Average
The short-stay quality of care rating is based on the quality of care delivered to temporary residents only.
Staffing Rating - 5 out of 5 stars - Much Above Average
The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides.
Nurse Aide Staffing Hours2.96 hours per resident per day
Nurse aide hours per resident per day. Higher number of hours are better.
RN Staffing Hours1.27 hours per resident per day
Resgistered nurse hours per resident per day. Higher number of hours are better.
RN Staff Turnover15.8%
Resgistered nurse turnover is the percentage of registered nursing staff who stop working at the facility within a given year.
Ownership TypeGovernment - County
Is the facility private for profit, not-for profit or publicly owned.
Number of Certified Beds85 beds
Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs.
Residents per Day71 residents
Average number of residents living in the facility per day.
Automatic Sprinkler SystemsYes
Does the facility have automatic sprinkler systems in all required areas?
Facility Reported Incidents3 incidents
Number of facility-reported incidents in the past 3 years. A lower number is better.
Substantiated Complaints1 complaints
Number of substantiated complaints in the past 3 years. A lower number is better.
Citations from Inspections citations after infection control inspection
Number of citations from infection control inspections in the past 3 years. A lower number is better.
Total Number of Penalties0 penalties from a serious health, fire safety or long-term unresolved citation
The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time.
Number of Fines0 fines
Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare.
Amount of Fines$0.00
Total monetary amount of fine imposed on the facility in the last 3 years.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D0674210
Facility Type
Home Health Agency
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MS. KIMBERLY M. MUELLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fond Du Lac County Home Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1679545917, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 4 + 9 + 1 + 0 + 4 + 1 + 0 + 9 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1679545917.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Dental Hygienist
160 S MACY ST, HEALTH DEPT
FOND DU LAC, WI 54935
Dental Hygienist
160 S MACY ST, HEALTH DEPARTMENT
FOND DU LAC, WI 54935
Public Health or Welfare
160 S MACY ST
FOND DU LAC, WI 54935
Counselor (Professional)
160 S MACY ST
FOND DU LAC, WI 54935
Non-emergency Medical Transport (VAN)
160 S MACY ST
FOND DU LAC, WI 54935

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679545917, enumerated as an "organization" on February 02, 2006.

The provider is located at 160 S MACY ST FOND DU LAC, WI 54935 and the phone number is (920) 929-3085.

Home Health with taxonomy code 251E00000X.

The provider might be accepting Accepts: Humana, Medicare, Medicaid and Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.