Provider Demographics
NPI:1083150809
Name:EYE-CARE HOME HEALTH CARE,LLC
Entity Type:Organization
Organization Name:EYE-CARE HOME HEALTH CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:414-242-4434
Mailing Address - Street 1:6221 W KEEFE AVENUE PKWY
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-2773
Mailing Address - Country:US
Mailing Address - Phone:414-242-4434
Mailing Address - Fax:
Practice Address - Street 1:6221 W KEEFE AVENUE PKWY
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-2773
Practice Address - Country:US
Practice Address - Phone:414-242-4434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care