National Provider Identifier Database

THEDACARE INCORPORATED
Hospice Care, Community Based


Contact Information

THEDACARE, INCORPORATED
3000 E COLLEGE AVE
SUITE A
APPLETON, WI54915
Phone: 920-969-0919
Fax: 920-730-3433
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for THEDACARE, INCORPORATED

NPI Number 1881787380
Legal business name
LBN
THEDACARE, INCORPORATED
Authorized official WILLIAM FLETT - (CFO)
Entity Organization
Organization subpart No
Enumeration date 10/02/2006
Last updated 01/02/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 1504
  • WI Medicaid: 43187600

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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