Provider Demographics
NPI:1477918118
Name:CARE GIVING UNITED HOME HEALTH AGENCY LLC
Entity Type:Organization
Organization Name:CARE GIVING UNITED HOME HEALTH AGENCY LLC
Other - Org Name:CGU
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAI
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-745-4392
Mailing Address - Street 1:N64 W14567 MILL ROAD
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-5148
Mailing Address - Country:US
Mailing Address - Phone:414-745-4392
Mailing Address - Fax:
Practice Address - Street 1:N64W14567 MILL RD
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-5148
Practice Address - Country:US
Practice Address - Phone:414-745-4392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-23
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1197251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health