Provider Demographics
NPI:1790842391
Name:DOWN HOME NURSING, LLC
Entity Type:Organization
Organization Name:DOWN HOME NURSING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUBY
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:RAJKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:715-366-8277
Mailing Address - Street 1:7948 COUNTY ROAD A
Mailing Address - Street 2:
Mailing Address - City:ALMOND
Mailing Address - State:WI
Mailing Address - Zip Code:54909-9556
Mailing Address - Country:US
Mailing Address - Phone:715-366-8277
Mailing Address - Fax:715-366-8278
Practice Address - Street 1:7948 COUNTY ROAD A
Practice Address - Street 2:
Practice Address - City:ALMOND
Practice Address - State:WI
Practice Address - Zip Code:54909-9556
Practice Address - Country:US
Practice Address - Phone:715-366-8277
Practice Address - Fax:715-366-8278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163WH0200X, 163WH0200X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI35033900Medicaid
WI38353800Medicaid
WI38353700Medicaid