Provider Demographics
NPI:1659928463
Name:HOMME HEIGHTS INC.
Entity Type:Organization
Organization Name:HOMME HEIGHTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BEESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-253-2125
Mailing Address - Street 1:604 S WEBB ST
Mailing Address - Street 2:
Mailing Address - City:WITTENBERG
Mailing Address - State:WI
Mailing Address - Zip Code:54499-9040
Mailing Address - Country:US
Mailing Address - Phone:715-253-2125
Mailing Address - Fax:715-253-3293
Practice Address - Street 1:2901 N 7TH ST
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54403-4219
Practice Address - Country:US
Practice Address - Phone:715-845-1214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIES34517OtherVA