Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mid America Healthcare Corp of Wisconsin

Organization Home Health Agency · NPI 1477660132

Mid America Healthcare Corp of Wisconsin is a Home Health Agency in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

811 N Hawley Rd Ste 201
Milwaukee, WI 53213-3289
Phone: (414) 578-2961
Fax: (414) 578-2962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X · Licence 527256 (WI)

Record details

NPI number1477660132
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Souphalack Khammyvong — Administrator/ Don · (414) 578-2961
NPI enumeratedAugust 25, 2006
Last updated in NPPESFebruary 10, 2012
Mailing address811 N Hawley Rd, Milwaukee, WI 53213-3289

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