Provider Demographics
NPI:1003820861
Name:WHEATON FRANCISCAN HOME HEALTH & HOSPICE, LLC
Entity Type:Organization
Organization Name:WHEATON FRANCISCAN HOME HEALTH & HOSPICE, LLC
Other - Org Name:ASCENSION AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP CHIEF LEGAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-309-5668
Mailing Address - Street 1:135 S 84TH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53214-1478
Mailing Address - Country:US
Mailing Address - Phone:414-455-9500
Mailing Address - Fax:844-887-8721
Practice Address - Street 1:135 S 84TH ST STE 150
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53214-1481
Practice Address - Country:US
Practice Address - Phone:414-455-9500
Practice Address - Fax:844-887-8721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI179251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41531400Medicaid
WI41531400Medicaid