Provider Demographics
NPI:1326392994
Name:MINISTRY HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:MINISTRY HOME CARE SERVICES, LLC
Other - Org Name:MINISTRY HOME CARE PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR DIRECTOR OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-387-7294
Mailing Address - Street 1:611 N SAINT JOSEPH AVE
Mailing Address - Street 2:4 SOUTH
Mailing Address - City:MARSHFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54449-1832
Mailing Address - Country:US
Mailing Address - Phone:715-389-3820
Mailing Address - Fax:715-387-9950
Practice Address - Street 1:1927 N CENTRAL AVE
Practice Address - Street 2:SUITE A
Practice Address - City:MARSHFIELD
Practice Address - State:WI
Practice Address - Zip Code:54449-8336
Practice Address - Country:US
Practice Address - Phone:715-387-0755
Practice Address - Fax:715-387-0345
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MINISTRY HOME CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-11-05
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies