Provider Demographics
NPI:1427038777
Name:MERITER HEALTH ENTERPRISES, INC.
Entity Type:Organization
Organization Name:MERITER HEALTH ENTERPRISES, INC.
Other - Org Name:MERITER HOME CARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:J
Authorized Official - Last Name:STECKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-417-3758
Mailing Address - Street 1:PO BOX 259993
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53725-9993
Mailing Address - Country:US
Mailing Address - Phone:608-417-3700
Mailing Address - Fax:608-417-3766
Practice Address - Street 1:2180 W BELTLINE HWY
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-2340
Practice Address - Country:US
Practice Address - Phone:608-417-3700
Practice Address - Fax:608-417-3766
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MERITER HEALTH ENTERPRISES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-20
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI222251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41526000Medicaid
WI41526000Medicaid