# GREENSPAN HOME HEALTH CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891154704
- **Authorized official:** NINA YATES (ADMINISTRATOR)
- **Authorized official phone:** (414) 763-6000

## Contact information

- **Practice address:** 3521 W NATIONAL AVE, MILWAUKEE, WI 53215-1024
- **Practice address phone:** (414) 763-6000
- **Practice address fax:** (414) 763-6150
- **Mailing address:** 3521 W NATIONAL AVE, MILWAUKEE, WI 53215-1024
- **Mailing address phone:** (414) 763-6000
- **Mailing address fax:** (414) 763-6150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 302R00000X | Health Maintenance Organization | 100042075 | WI | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 02/19/2016
- **Last updated:** 12/06/2022