CHN - HOME CARE
NPI 1447243399
Home Health in Redgranite, WI
NPI Status: Active since August 25, 2005
Contact Information
402 PRESTON LANE
REDGRANITE, WI
ZIP 54970
Phone: (920) 361-5555
Fax: (920) 361-5300
- Organization
- Home Health
- CLIA Number: 52D2111810
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-14-2026
About CHN - HOME CARE
This page provides the complete NPI Profile along with additional information for Chn - Home Care, a provider established in Redgranite, Wisconsin operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1447243399 assigned on August 2005. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Chn - Home Care. The authorized official of this NPI record is Mr. Thomas Krystowiak (Cfo)
- NPI
- 1447243399
- Provider Legal Name
- THEDACARE MEDICAL CENTER - BERLIN, INC.
- Other Organization Name
- CHN - HOME CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 402 PRESTON LANE REDGRANITE, WI 54970
- Location Phone
- (920) 361-5555
- Location Fax
- (920) 361-5300
- Mailing Address
- 225 MEMORIAL DR BERLIN, WI 54923
- Mailing Phone
- (920) 361-5555
- Mailing Fax
- (920) 361-5300
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-25-2005
- Last Update Date
- 09-17-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Home Health
- Taxonomy Code
- 251E00000X
- Type
- Agencies
- License State
- WI
- Taxonomy Description
- A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251E00000X | Agencies | Home Health | 235 (WI) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D2111810
- Facility Type
- Physician Office
- Certificate Effective Date
- April 15, 2024
- Certificate Expiration Date
- April 14, 2026
- Laboratory Director
- DR. JARED M. KOHLENBERG
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Chn - Home Care in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for CHN - HOME CARE
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 4 | 7 | 2 | 4 | 3 | 3 | 9 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 8 | 7 | 4 | 4 | 6 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 8 + 7 + 4 + 4 + 6 + 3 + 1 + 8 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1447243399 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447243399, enumerated in the NPI registry as an "organization" on August 25, 2005
The provider is located at 402 Preston Lane Redgranite, Wi 54970 and the phone number is (920) 361-5555
This medical organization specializes in Home Health with taxonomy code 251E00000X
The provider's CLIA number is 52D2111810 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on August 25, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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