Organization
ENCOMPASS CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY GOGIN (OWNER)
(920) 840-0020
Entity
Organization
Contact information
Practice address
W6506 E STEAMBOAT LN, APPLETON, WI 54915-2356
(920) 840-0020
Mailing address
W6506 E STEAMBOAT LN, APPLETON, WI 54915-2356
(920) 840-0020
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
06/18/2024
Last updated
06/22/2024
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