Provider Demographics
NPI:1558546770
Name:LAABS HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:LAABS HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WANGARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-342-7442
Mailing Address - Street 1:619 N 35TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53208-3872
Mailing Address - Country:US
Mailing Address - Phone:414-342-7442
Mailing Address - Fax:
Practice Address - Street 1:619 N 35TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53208-3872
Practice Address - Country:US
Practice Address - Phone:414-342-7442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI147251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41524400Medicaid
WI527177Medicare PIN