Provider Demographics
NPI:1255002887
Name:ANTWI HOMECARE
Entity Type:Organization
Organization Name:ANTWI HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:BANKHEAD ANTWI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-499-4767
Mailing Address - Street 1:W175N11117 STONEWOOD DR STE 290
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:53022-6508
Mailing Address - Country:US
Mailing Address - Phone:414-499-4767
Mailing Address - Fax:262-415-7136
Practice Address - Street 1:W175N11117 STONEWOOD DR STE 290
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:WI
Practice Address - Zip Code:53022-6508
Practice Address - Country:US
Practice Address - Phone:414-499-4767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health