ProMedica Hospice (Kenosha) – Community Based Hospice Care Agency, NPI 1043250558

ProMedica Hospice (Kenosha) is a healthcare provider. based in Kenosha, Wisconsin. specializing in Community Based Hospice Care Agency. The organization holds a License No. 2003 (WI). The NPI Number for ProMedica Hospice (Kenosha) is 1043250558

Main info

Organization
Name
ProMedica Hospice (Kenosha)
NPI
1043250558
Phone
(262) 652-4730
Address
9114 58th Pl Ste 500
Authorized Official
MARTIN DAVID ALLEN DIRECTOR
Enumeration Date
7 June 2006
Last Update Date
14 April 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for ProMedica Hospice (Kenosha)

  • 9114 58th Pl Ste 500

    Kenosha, WI 531447816

    Phone: (262) 652-4730

    Type: Location

  • 1233, North Mayfair Road, Wauwatosa, Milwaukee County, Wisconsin, 53222:53228, United States

    SUITE 100

    MILWAUKEE, WI 532263276

    Phone: (414) 944-2000

    Fax: (414) 944-2090

    Type: Location

  • 333, North Summit Street, Downtown, Toledo, Lucas County, Ohio, 43604, United States

    TOLEDO, OH 436041531

    Phone: (419) 254-7841

    Fax: (419) 252-6448

    Type: Mailing

  • 10200 W INNOVATION DR STE 400

    MILWAUKEE, WI 532264826

    Phone: (414) 944-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53144)

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Reviews

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Frequently asked questions

What NPI should I save for ProMedica Hospice (Kenosha)?
Save NPI 1043250558 if you need a stable reference for ProMedica Hospice (Kenosha).
Is ProMedica Hospice (Kenosha) currently active in the NPI registry?
CMS-published data lists ProMedica Hospice (Kenosha) as an active registrant.
Does ProMedica Hospice (Kenosha) list a primary specialty?
If you are matching referrals, note Community Based Hospice Care Agency for ProMedica Hospice (Kenosha). Clinical services aligned with this taxonomy classification.
What location metadata exists for ProMedica Hospice (Kenosha)?
The page summarizes Kenosha, Wisconsin for ProMedica Hospice (Kenosha); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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