Provider Demographics
NPI:1396171757
Name:KEEP-THEM HOME CARE LLC
Entity type:Organization
Organization Name:KEEP-THEM HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:262-598-8140
Mailing Address - Street 1:6011 DURAND AVENUE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MT. PLEASANT
Mailing Address - State:WI
Mailing Address - Zip Code:53406-5060
Mailing Address - Country:US
Mailing Address - Phone:262-598-8140
Mailing Address - Fax:262-598-8150
Practice Address - Street 1:6011 DURAND AVENUE
Practice Address - Street 2:SUITE 300
Practice Address - City:MT. PLEASANT
Practice Address - State:WI
Practice Address - Zip Code:53406-5060
Practice Address - Country:US
Practice Address - Phone:262-598-8140
Practice Address - Fax:262-598-8150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-17
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI100030397253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100030397Medicaid