Provider Demographics
NPI:1922777267
Name:HENKE HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:HENKE HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:HENKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-354-5222
Mailing Address - Street 1:PO BOX 21
Mailing Address - Street 2:
Mailing Address - City:HUBERTUS
Mailing Address - State:WI
Mailing Address - Zip Code:53033-0021
Mailing Address - Country:US
Mailing Address - Phone:262-354-5222
Mailing Address - Fax:
Practice Address - Street 1:3332 MOUNT LN
Practice Address - Street 2:
Practice Address - City:HUBERTUS
Practice Address - State:WI
Practice Address - Zip Code:53033-9640
Practice Address - Country:US
Practice Address - Phone:262-354-5222
Practice Address - Fax:262-623-6644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No332U00000XSuppliersHome Delivered MealsGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty