ETERNITY HOMECARE INC. NPI 1528437498

NPI Information

NPI: 1528437498
Provider Name: ETERNITY HOMECARE, INC.
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
1402 GREENWAY CROSS
SUITE 101
MADISON, WI
ZIP 53713
Phone: (608) 251-2273
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ETERNITY HOMECARE, INC. is a nursing care in Madison, WI. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. ETERNITY HOMECARE, INC. NPI is 1528437498. The provider is registered as an organization entity type.

The provider's business location address is:

1402 GREENWAY CROSS
SUITE 101
MADISON, WI
ZIP 53713-181
Phone: (608) 251-2273
Fax: (866) 748-3232

The provider's authorized official is Kelly Kline Burnett .
The authorized official title is Business Liaison and has the following contact phone number (608) 251-2273.

The enumeration date for this NPI number is 9/21/2015 and was last updated on 9/21/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	302R00000X	Health Maintenance Organization			No
2	253Z00000X	In Home Supportive Care			No
3	302F00000X	Exclusive Provider Organization			No
4	251B00000X	Case Management			No
5	251F00000X	Home Infusion			No
6	251300000X	Local Education Agency (LEA)			No
7	251T00000X	Program of All-Inclusive Care for the Elderly (PACE) Provider Organization			No
8	251E00000X	Home Health			No
9	251B00000X	Case Management	100014484	WISCONSIN	No
10	251E00000X	Home Health	100014484	WISCONSIN	No
11	253Z00000X	In Home Supportive Care	100014484	WISCONSIN	No
12	251J00000X	Nursing Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100014484	MEDICAID	WISCONSIN
2	1770996100	OTHER	WISCONSIN	INDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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