Provider Demographics
NPI:1790940328
Name:HOMEMAKERS INC. OF OSHKOSH
Entity Type:Organization
Organization Name:HOMEMAKERS INC. OF OSHKOSH
Other - Org Name:CAREGIVERS OF MARINETTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JETRE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-233-2081
Mailing Address - Street 1:PO BOX 2128
Mailing Address - Street 2:2020 WEST 9TH AVENUE
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54903-2128
Mailing Address - Country:US
Mailing Address - Phone:920-233-2081
Mailing Address - Fax:920-233-8375
Practice Address - Street 1:2020 W 9TH AVE
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54904-8072
Practice Address - Country:US
Practice Address - Phone:920-233-2081
Practice Address - Fax:920-233-8375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-23
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1005251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41535300Medicaid
WI41535300Medicaid