Provider Demographics
NPI:1205417656
Name:ONWARD HOME CARE, LLC
Entity Type:Organization
Organization Name:ONWARD HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACTING ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:K
Authorized Official - Last Name:HER
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:414-690-6780
Mailing Address - Street 1:7114 W CAPITOL DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-2052
Mailing Address - Country:US
Mailing Address - Phone:414-690-6780
Mailing Address - Fax:414-755-1883
Practice Address - Street 1:7114 W CAPITOL DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-2052
Practice Address - Country:US
Practice Address - Phone:414-690-6780
Practice Address - Fax:414-755-1883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-17
Last Update Date:2021-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care