Provider Demographics
NPI:1225181480
Name:HHU XTRA CARE, INC.
Entity Type:Organization
Organization Name:HHU XTRA CARE, INC.
Other - Org Name:HOME HEALTH UNITED COMMUNITY HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-241-6951
Mailing Address - Street 1:2802 WALTON COMMONS LANE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53718-6785
Mailing Address - Country:US
Mailing Address - Phone:608-242-1516
Mailing Address - Fax:608-242-1613
Practice Address - Street 1:2802 WALTON COMMONS LANE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53718-6785
Practice Address - Country:US
Practice Address - Phone:608-242-1516
Practice Address - Fax:608-242-1613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
000086705Medicare UPIN