Provider Demographics
NPI:1346289329
Name:FNF HEALTH CARE,INC
Entity Type:Organization
Organization Name:FNF HEALTH CARE,INC
Other - Org Name:HOME CARE NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:NAGEL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:262-248-0457
Mailing Address - Street 1:PO BOX 384
Mailing Address - Street 2:
Mailing Address - City:LAKE GENEVA
Mailing Address - State:WI
Mailing Address - Zip Code:53147-0384
Mailing Address - Country:US
Mailing Address - Phone:262-248-0457
Mailing Address - Fax:262-248-0450
Practice Address - Street 1:612 S WELLS ST
Practice Address - Street 2:SUITE H
Practice Address - City:LAKE GENEVA
Practice Address - State:WI
Practice Address - Zip Code:53147-2159
Practice Address - Country:US
Practice Address - Phone:262-248-0457
Practice Address - Fax:262-248-0450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41536800Medicare UPIN
WI527140Medicare ID - Type Unspecified