Provider Demographics
NPI:1568819696
Name:MIDWEST HOMECARE
Entity Type:Organization
Organization Name:MIDWEST HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-276-6000
Mailing Address - Street 1:2800 ROYAL AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:MONONA
Mailing Address - State:WI
Mailing Address - Zip Code:53713-1518
Mailing Address - Country:US
Mailing Address - Phone:608-276-6000
Mailing Address - Fax:
Practice Address - Street 1:2800 ROYAL AVE STE 204
Practice Address - Street 2:
Practice Address - City:MONONA
Practice Address - State:WI
Practice Address - Zip Code:53713-1518
Practice Address - Country:US
Practice Address - Phone:608-276-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health