Provider Demographics
NPI:1205025392
Name:SUPPORTIVE HOMECARE OPTIONS, INC
Entity Type:Organization
Organization Name:SUPPORTIVE HOMECARE OPTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPRENGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-475-7788
Mailing Address - Street 1:7425 HARWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53213-2626
Mailing Address - Country:US
Mailing Address - Phone:414-475-7788
Mailing Address - Fax:414-475-0321
Practice Address - Street 1:7400 HARWOOD AVE
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53213-2637
Practice Address - Country:US
Practice Address - Phone:414-475-5356
Practice Address - Fax:414-475-0321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty