Provider Demographics
NPI:1750532313
Name:HOME CARE UNITED, INC.
Entity type:Organization
Organization Name:HOME CARE UNITED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL DIRECTOR HME
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-276-3926
Mailing Address - Street 1:4639 HAMMERSLEY RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-2706
Mailing Address - Country:US
Mailing Address - Phone:608-276-3420
Mailing Address - Fax:608-276-3425
Practice Address - Street 1:1111 8TH ST
Practice Address - Street 2:
Practice Address - City:BARABOO
Practice Address - State:WI
Practice Address - Zip Code:53913-1803
Practice Address - Country:US
Practice Address - Phone:608-356-6475
Practice Address - Fax:608-356-0862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-01
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41678800Medicaid
WI0668850002Medicare NSC