Provider Demographics
NPI:1801477427
Name:BADGERCARE HOME HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:BADGERCARE HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RASHELL
Authorized Official - Middle Name:M
Authorized Official - Last Name:GLADNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-612-3605
Mailing Address - Street 1:8117 N EDGE O WOODS DR
Mailing Address - Street 2:
Mailing Address - City:BROWN DEER
Mailing Address - State:WI
Mailing Address - Zip Code:53223-3314
Mailing Address - Country:US
Mailing Address - Phone:414-349-7405
Mailing Address - Fax:888-849-7405
Practice Address - Street 1:LIBERTY 1 PLAZA
Practice Address - Street 2:11414 WEST PARK PLACE,SUITE 202
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53224
Practice Address - Country:US
Practice Address - Phone:414-349-7405
Practice Address - Fax:888-849-7405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care