Eternity Homecare, Inc.
LBN: Eternity Homecare, Inc.
Eternity Homecare, Inc. is an health care organization with primary practice located at 1402 Greenway Cross Suite 101, Madison WI 53713-3181. The organization recently has 9 registered licenses in different health care specialties including Agencies / Local Education Agency (LEA), Agencies / Case Management, Agencies / Home Health, Agencies / Home Infusion, Agencies / Nursing Care, Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, Agencies / In Home Supportive Care, Managed Care Organizations / Exclusive Provider Organization, Managed Care Organizations / Health Maintenance Organization. Agencies / Nursing Care is the primary health care specialty.
Eternity Homecare, Inc. can be contacted via phone (608) 251-2273, or through Burnett, Kelly Kline via phone (608) 251-2273.
Contact Information
Primary practice address
1402 Greenway Cross Suite 101
Madison WI 53713-3181
Phone: (608) 251-2273
Fax: (866) 748-3232
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Local Education Agency (LEA) | 251300000X | ||
Agencies / Case Management | 251B00000X | 100014484 | Wisconsin |
Agencies / Case Management | 251B00000X | ||
Agencies / Home Health | 251E00000X | 100014484 | Wisconsin |
Agencies / Home Health | 251E00000X | ||
Agencies / Home Infusion | 251F00000X | ||
Agencies / Nursing Care | 251J00000X | ||
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | 251T00000X | ||
Agencies / In Home Supportive Care | 253Z00000X | 100014484 | Wisconsin |
Agencies / In Home Supportive Care | 253Z00000X | ||
Managed Care Organizations / Exclusive Provider Organization | 302F00000X | ||
Managed Care Organizations / Health Maintenance Organization | 302R00000X |
Profile Details
NPI number | 1528437498 |
---|---|
LBN Legal business name | Eternity Homecare, Inc. |
DBA Doing business as | |
Authorized official | Burnett, Kelly Kline MBA |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 21st, 2015 |
Last updated | Sep 21st, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528437498 | NPPES |
Wisconsin | Other | 1770996100 | INDIVIDUAL NPI |
Wisconsin | MEDICAID | 100014484 | INDIVIDUAL NPI |
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