OrganizationActive
Mid America Healthcare Corp of Wisconsin
NPI 1477660132 · Home Health Agency · Milwaukee, WI
Mid America Healthcare Corp of Wisconsin is a Home Health Agency organization in Milwaukee, WI (NPI 1477660132).
Provider details
- NPI number
- 1477660132
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Souphalack Khammyvong, Administrator/ Don(414) 578-2961
- License
- 527256 (WI)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
811 N Hawley Rd
Ste 201
Milwaukee, WI 53213-3289
Phone: (414) 578-2961
Fax: (414) 578-2962
Street-level locationGet directions
Mailing address
811 N Hawley Rd
Milwaukee, WI 53213-3289
Registry dates
- Enumerated
- 2006-08-25
- Last updated
- 2012-02-10
Frequently asked questions
- What is Mid America Healthcare Corp of Wisconsin's NPI number?
- Mid America Healthcare Corp of Wisconsin's National Provider Identifier (NPI) is 1477660132, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mid America Healthcare Corp of Wisconsin?
- Mid America Healthcare Corp of Wisconsin is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Mid America Healthcare Corp of Wisconsin located?
- Mid America Healthcare Corp of Wisconsin's practice location on file with NPPES is 811 N Hawley Rd, Milwaukee, WI 53213-3289.
- What is Mid America Healthcare Corp of Wisconsin's phone number?
- The practice phone number listed in the NPPES registry for Mid America Healthcare Corp of Wisconsin is (414) 578-2961.
- Who is the authorized official for Mid America Healthcare Corp of Wisconsin?
- The authorized official listed on Mid America Healthcare Corp of Wisconsin's NPPES record is Souphalack Khammyvong, Administrator/ Don. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mid America Healthcare Corp of Wisconsin's NPI active?
- Yes — Mid America Healthcare Corp of Wisconsin's NPI (1477660132) is active in the NPPES registry as of the last update on 2012-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.