Provider Demographics
NPI:1316377526
Name:WE CARE AT HOME, LLC
Entity Type:Organization
Organization Name:WE CARE AT HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-284-8933
Mailing Address - Street 1:101 NOB HILL RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53713-3969
Mailing Address - Country:US
Mailing Address - Phone:608-284-8933
Mailing Address - Fax:608-338-0446
Practice Address - Street 1:101 NOB HILL RD
Practice Address - Street 2:SUITE 202
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-3969
Practice Address - Country:US
Practice Address - Phone:608-284-8933
Practice Address - Fax:608-338-0446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-25
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100037673Medicaid