Provider Demographics
NPI:1700855046
Name:AMERICAN HOME NURSING, LLC
Entity Type:Organization
Organization Name:AMERICAN HOME NURSING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-898-5380
Mailing Address - Street 1:1623 WISCONSIN AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HOLSTEIN
Mailing Address - State:WI
Mailing Address - Zip Code:53061-1118
Mailing Address - Country:US
Mailing Address - Phone:920-898-5380
Mailing Address - Fax:920-898-1609
Practice Address - Street 1:1623 WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:NEW HOLSTEIN
Practice Address - State:WI
Practice Address - Zip Code:53061-1118
Practice Address - Country:US
Practice Address - Phone:920-898-5380
Practice Address - Fax:920-898-1609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-17
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1047251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI527294Medicare Oscar/Certification