Provider Demographics
NPI:1770012056
Name:STRONG HOME CARE AND COMPANIONS
Entity Type:Organization
Organization Name:STRONG HOME CARE AND COMPANIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LESLEY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:STRONG-BELCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-507-9501
Mailing Address - Street 1:6110 N PORT WASHINGTON RD STE 3
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-4308
Mailing Address - Country:US
Mailing Address - Phone:414-507-9501
Mailing Address - Fax:781-810-9584
Practice Address - Street 1:6110 N PORT WASHINGTON RD
Practice Address - Street 2:SUITE 3
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53217
Practice Address - Country:US
Practice Address - Phone:414-507-9501
Practice Address - Fax:781-810-9584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
WI251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100067169Medicaid