Wisconsin Hospice & Branches/Residential Facilities (RF) · Lic# Provider # Facility Vendor# Fac#...

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Lic # Provider # Facility Vendor # Fac# Phone Fax Department of Health Services Division of Quality Assurance 05/02/2019 Hospice & Branches/Residential Facilities (RF) Provider Directory with Branches, Counties & Services County Accredited Participation Date Administrator Region Sub. Administrator HSPC43 521539 526 1184627499 1913 BEASER AVE REGIONAL HOSPICE SERVICES ASHLAND ANDERSON, LYNDA (715)682-6404 (715)685-5151 NO 03/16/1992 NORTHERN FROST, PAMELA ASHLAND, WI 54806 Services Provided : BEREAVEMENT DIETARY HOMEMAKER HOSPICE AIDE MASSAGE THERAPY MEDICAL NURSING OCCUPATIONAL THERAPY OTHER COUNSELING PATIENT/FAMILY COMPANION PHYSICAL THERAPY SOCIAL SERVICES SPEECH PATHOLOGY SPIRITUAL COUNSELING Main Office Counties Served : ASHLAND BARRON BAYFIELD BURNETT DOUGLAS IRON POLK RUSK SAWYER VILAS WASHBURN Branches & Counties Served : REGIONAL HOSPICE HAYWARD, 15910 W COMPANY LAKE RD, HAYWARD, WI 54843, Phone: 715-634-6433 BARRON BAYFIELD DOUGLAS RUSK SAWYER WASHBURN REGIONAL HOSPICE IRONWOOD, 216 E AURORA ST, IRONWOOD, MI 49938, Phone: 906-663-0308 ASHLAND IRON VILAS REGIONAL HOSPICE SPOONER, 819 ASH ST, SPOONER, WI 54801, Phone: 715-635-9077 BARRON BURNETT POLK SAWYER WASHBURN

Transcript of Wisconsin Hospice & Branches/Residential Facilities (RF) · Lic# Provider # Facility Vendor# Fac#...

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 05/02/2019

Hospice & Branches/Residential Facilities (RF) Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

HSPC43521539526

1184627499

1913 BEASER AVEREGIONAL HOSPICE SERVICES

ASHLAND

ANDERSON, LYNDA(715)682-6404(715)685-5151

NO03/16/1992NORTHERN

FROST, PAMELAASHLAND, WI 54806

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDEMASSAGE THERAPY MEDICALNURSING OCCUPATIONAL THERAPYOTHER COUNSELING PATIENT/FAMILY COMPANIONPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:ASHLAND BARRON BAYFIELD BURNETTDOUGLAS IRON POLK RUSKSAWYER VILAS WASHBURN

Branches & Counties Served:REGIONAL HOSPICE HAYWARD, 15910 W COMPANY LAKE RD, HAYWARD, WI 54843, Phone: 715-634-6433

BARRON BAYFIELD DOUGLAS RUSKSAWYER WASHBURN

REGIONAL HOSPICE IRONWOOD, 216 E AURORA ST, IRONWOOD, MI 49938, Phone: 906-663-0308

ASHLAND IRON VILASREGIONAL HOSPICE SPOONER, 819 ASH ST, SPOONER, WI 54801, Phone: 715-635-9077

BARRON BURNETT POLK SAWYERWASHBURN

Lic #Provider #

Facility

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Department of Health ServicesDivision of Quality Assurance 05/02/2019

Hospice & Branches/Residential Facilities (RF) Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Services Provided by Branches:REGIONAL HOSPICE HAYWARD, 15910 W COMPANY LAKE RD, HAYWARD, WI 54843, Phone: 715-634-6433BEREAVEMENT DIETARY HOMEMAKER HOSPICE AIDEMASSAGE THERAPY MEDICAL NURSING OCCUPATIONAL THERAPYOTHER COUNSELING PATIENT/FAMILY COMPANION PHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

REGIONAL HOSPICE IRONWOOD, 216 E AURORA ST, IRONWOOD, MI 49938, Phone: 906-663-0308BEREAVEMENT DIETARY HOMEMAKER HOSPICE AIDEMASSAGE THERAPY MEDICAL NURSING OCCUPATIONAL THERAPYPATIENT/FAMILY COMPANION PHYSICAL THERAPY SOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

REGIONAL HOSPICE SPOONER, 819 ASH ST, SPOONER, WI 54801, Phone: 715-635-9077BEREAVEMENT DIETARY HOMEMAKER HOSPICE AIDEMASSAGE THERAPY MEDICAL NURSING OCCUPATIONAL THERAPYOTHER COUNSELING PATIENT/FAMILY COMPANION PHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

HSPC30521558555

1689762106

2304 S MAIN STLAKEVIEW MEDICAL CTR HOSPICE

BARRON

SCHIEFFER, TRACY(715)236-6578(715)236-6256

YES03/21/1997

JOHNSON, SHERRYRICE LAKE, WI 54868

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE MEDICALNURSING OCCUPATIONAL THERAPYPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:BARRON BURNETT CHIPPEWA DUNNPOLK RUSK SAWYER WASHBURN

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Department of Health ServicesDivision of Quality Assurance 05/02/2019

Hospice & Branches/Residential Facilities (RF) Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

HSPC695215752011

43190300

2633 DEVELOPMENT DR SUITE 10ASERACARE HOSPICE

BROWN

RICHERT, GINA(920)497-7194(920)497-4672

YES01/03/2006

THOMAS, SHAWNBELLEVUE, WI 54311

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE MEDICALNURSING OCCUPATIONAL THERAPYPHYSICAL THERAPY SOCIAL SERVICESSPEECH THERAPY SPIRITUAL COUNSELING

Main Office Counties Served:BROWN CALUMET DOOR FOND DU LACKEWAUNEE MANITOWOC OCONTO OUTAGAMIESHAWANO SHEBOYGAN WAUPACA WINNEBAGO

Branches & Counties Served:ASERACARE HOSPICE, 4107 BARBICAN AVE STE 220, WESTON, WI 54476, Phone: 715-355-4797

CLARK LANGLADE LINCOLN MARATHONMENOMINEE ONEIDA PORTAGE SHAWANOTAYLOR WAUPACA WOOD

Services Provided by Branches:ASERACARE HOSPICE, 4107 BARBICAN AVE STE 220, WESTON, WI 54476, Phone: 715-355-4797BEREAVEMENT DIETARY HOSPICE AIDE MEDICALNURSING OCCUPATIONAL THERAPY PHYSICAL THERAPY SOCIAL SERVICESSPEECH THERAPY SPIRITUAL COUNSELING

HSPC625215672004

1417110214

931 DISCOVERY RDAURORA AT HOME

BROWN

KIMPS, TINA(920)288-5151(920)288-5100

YES10/24/2000

JOHNSON, CAROLGREEN BAY, WI 54311

Lic #Provider #

Facility

Vendor #Fac#

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Department of Health ServicesDivision of Quality Assurance 05/02/2019

Hospice & Branches/Residential Facilities (RF) Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE LPNMEDICAL MEDICAL SOCIAL SERVICENURSING OCCUPATIONAL THERAPYPHYSICAL THERAPY SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:BROWN CALUMET DODGE DOORFOND DU LAC GREEN LAKE KEWAUNEE MANITOWOCMARINETTE MARQUETTE MENOMINEE OCONTOOUTAGAMIE OZAUKEE SHAWANO SHEBOYGANWASHINGTON WAUPACA WAUSHARA WINNEBAGO

HSPC925215952036

1801136643

3237 RIVERSIDE DRIVECOMPASSUS GREEN BAY

BROWN

GOODMAN, ANDREW(920)321-2005(920)321-2004

YES07/19/2013

BUDZ, TRACYGREEN BAY, WI 54301

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDELPN MEDICALNURSING OCCUPATIONAL THERAPYOTHER COUNSELING PATIENT/FAMILY COMPANIONPHARMACY PHYSICAL THERAPYRESPITE SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:BROWN CALUMET DOOR FOND DU LACKEWAUNEE MANITOWOC MARINETTE MENOMINEEOCONTO OUTAGAMIE SHAWANO WAUPACAWINNEBAGO

HSPC 405215692005

1851336358

1145 W MAIN AVE SUITE 205HEARTLAND HHC AND HOSPICE

BROWN

LEISGANG, BONNIE(920)336-6646(920)336-6455

YES03/27/2001

O BARSKI, LEAHDE PERE, WI 54115

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Department of Health ServicesDivision of Quality Assurance 05/02/2019

Hospice & Branches/Residential Facilities (RF) Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE MASSAGE THERAPYMEDICAL NURSINGOCCUPATIONAL THERAPY PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:BROWN CALUMET DOOR KEWAUNEEMANITOWOC MARINETTE MENOMINEE OCONTOOUTAGAMIE SHAWANO WAUPACA WINNEBAGO

Branches & Counties Served:HEARTLAND HHC AND HOSPICE, 3233A BUSINESS PARK DR SUITE 203, STEVENS POINT, WI 54482, Phone: 715-344-4541

ADAMS CLARK JACKSON JUNEAUMARATHON MARQUETTE PORTAGE SHAWANOWAUPACA WAUSHARA WOOD

Services Provided by Branches:HEARTLAND HHC AND HOSPICE, 3233A BUSINESS PARK DR SUITE 203, STEVENS POINT, WI 54482, Phone: 715-344-4541BEREAVEMENT DIETARY HOSPICE AIDE MASSAGE THERAPYMEDICAL NURSING OCCUPATIONAL THERAPY PHYSICAL THERAPYSOCIAL SERVICES SPEECH THERAPY SPIRITUAL COUNSELING

HSPC725215812016

43191100

1800 W MASON ST SUITE ASOUTHERNCARE GREEN BAY

BROWN

IMMEL, DEBRA(920)496-1693(920)496-1690

YES05/09/2007

KERN, LANAGREEN BAY, WI 54303

Lic #Provider #

Facility

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Department of Health ServicesDivision of Quality Assurance 05/02/2019

Hospice & Branches/Residential Facilities (RF) Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDELPN MEDICALNURSING OCCUPATIONAL THERAPYPHYSICAL THERAPY PHYSICIANRESPIRATORY THERAPY SOCIAL SERVICESSPEECH THERAPY SPIRITUAL COUNSELING

Main Office Counties Served:BROWN CALUMET COLUMBIA DOORFOND DU LAC GREEN LAKE KEWAUNEE MANITOWOCMARATHON MARINETTE MARQUETTE MENOMINEEOCONTO OUTAGAMIE PORTAGE SHAWANOSHEBOYGAN WAUPACA WAUSHARA WINNEBAGO

Branches & Counties Served:SOUTHERNCARE FOND DU LAC, 885 WESTERN AVE, SUITE 200, FOND DU LAC, WI 54935, Phone: 920-623-0461

BROWN CALUMET COLUMBIA DOORFOND DU LAC GREEN LAKE KEWAUNEE MANITOWOCMARINETTE MENOMINEE OCONTO OUTAGAMIESHAWANO SHEBOYGAN WASHINGTON WAUPACAWAUSHARA WINNEBAGO

SOUTHERNCARE WAUPACA, 914 FURMAN DR SUITE 1, WAUPACA, WI 54981, Phone: 715-942-8205

BROWN CALUMET DOOR FOND DU LACKEWAUNEE MANITOWOC MARINETTE OCONTOOUTAGAMIE SHEBOYGAN WAUPACA WINNEBAGO

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Department of Health ServicesDivision of Quality Assurance 05/02/2019

Hospice & Branches/Residential Facilities (RF) Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

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Services Provided by Branches:SOUTHERNCARE FOND DU LAC, 885 WESTERN AVE, SUITE 200, FOND DU LAC, WI 54935, Phone: 920-623-0461BEREAVEMENT HOSPICE AIDE LPN NURSINGOCCUPATIONAL THERAPY PHARMACY PHYSICAL THERAPY PHYSICIANRESPIRATORY THERAPY SOCIAL SERVICES SPEECH THERAPY

SOUTHERNCARE WAUPACA, 914 FURMAN DR SUITE 1, WAUPACA, WI 54981, Phone: 715-942-8205BEREAVEMENT DIETARY HOSPICE AIDE LPNNURSING OCCUPATIONAL THERAPY PHARMACEUTICAL PHYSICAL THERAPYPHYSICIAN RESPIRATORY THERAPY SOCIAL SERVICES SPEECH THERAPYSPIRITUAL COUNSELING

HSPC565215031503

1194797910

2366 OAK RIDGE CIRCLEUNITY HOSPICE

BROWN

GERKE, ALISA(920)339-6795(920)338-1111

NO01/21/1985NORTHEASTERN

BISCHOFF, KATIEDE PERE, WI 54115

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDELPN MEDICALNURSING OCCUPATIONAL THERAPYOTHER COUNSELING PATIENT/FAMILY COMPANIONPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:BROWN CALUMET DOOR FLORENCEFOREST KEWAUNEE MANITOWOC MARINETTEMENOMINEE OCONTO OUTAGAMIE SHAWANOWAUPACA

JACK AND ENGRID MENG HOSPICE RESIDENCE (Unity Hospice), 2366 OAK RIDGE CIRCLE, DE PERE, WI 54115, Phone: 920-338-134012Beds:

RF:

HSPC3521563557

1235120791

206 COURT STCALUMET COUNTY HOSPICE AGENCY

CALUMET

KOLBE, BONNIE(920)849-1476(920)849-1432

NO11/09/1998

PROPSON, ELIZABETHCHILTON, WI 53014

Lic #Provider #

Facility

Vendor #Fac#

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Department of Health ServicesDivision of Quality Assurance 05/02/2019

Hospice & Branches/Residential Facilities (RF) Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Services Provided:BEREAVEMENT HOSPICE AIDEMEDICAL NURSINGOCCUPATIONAL THERAPY PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:BROWN CALUMET FOND DU LAC MANITOWOCOUTAGAMIE SHEBOYGAN

HSPC505215241524

1366440521

2661 CTY HIGHWAY IST JOSEPHS HOSPICE

CHIPPEWA

LAUER, DEBBIE(715)717-7630(715)717-7485

YES01/06/1989

SLOAN, CHARLOTTECHIPPEWA FALLS, WI 54729

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE MEDICALNURSING OCCUPATIONAL THERAPYPATIENT/FAMILY COMPANION PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:BUFFALO CHIPPEWA CLARK DUNNEAU CLAIRE PEPIN RUSK TREMPEALEAU

HSPC405215131513

1932160538

37868 US HIGHWAY 18CROSSING RIVERS HEALTH HOSPICE

CRAWFORD

LANE, LAURA(608)357-2395(608)357-2000

YES06/26/1987

SCHULTZ, AMANDAPRAIRIE DU CHIEN, WI 53821

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE MEDICALNURSING OCCUPATIONAL THERAPYOTHER COUNSELING PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:CLAYTON ALLAMAKEE CRAWFORD GRANT

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Department of Health ServicesDivision of Quality Assurance 05/02/2019

Hospice & Branches/Residential Facilities (RF) Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

HSPC265215051505

1861503534

5395 E CHERYL PKWYAGRACE HOSPICECARE

DANE

SEXTEN, LYNNE(608)276-4672(608)276-4660

NO09/18/1985

FLUGAUR, JENNIFERMADISON, WI 53711

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE LPNMEDICAL NURSINGOCCUPATIONAL THERAPY OTHER COUNSELINGPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:ADAMS COLUMBIA CRAWFORD DANEDODGE GRANT GREEN GREEN LAKEIOWA JEFFERSON JUNEAU LAFAYETTEMARQUETTE MONROE RICHLAND SAUKVERNON WALWORTH

Branches & Counties Served:AGRACE HOSPICECARE BARABOO, 1670 SOUTH BOULEVARD, BARABOO, WI 53913, Phone: 608-276-4660

ADAMS COLUMBIA GRANT JUNEAUMARQUETTE RICHLAND SAUK VERNON

AGRACE HOSPICECARE JANESVILLE, 2901 N WRIGHT ROAD, JANESVILLE, WI 53546, Phone: 608-755-1871

DANE GREEN JEFFERSON ROCKWALWORTH

Services Provided by Branches:AGRACE HOSPICECARE BARABOO, 1670 SOUTH BOULEVARD, BARABOO, WI 53913, Phone: 608-276-4660BEREAVEMENT DIETARY HOSPICE AIDE LPNMEDICAL NURSING OCCUPATIONAL THERAPY OTHER COUNSELINGPHYSICAL THERAPY SOCIAL SERVICES SPEECH PATHOLOGY SPIRITUAL COUNSELING

AGRACE HOSPICECARE JANESVILLE, 2901 N WRIGHT ROAD, JANESVILLE, WI 53546, Phone: 608-755-1871BEREAVEMENT DIETARY HOSPICE AIDE LPNMEDICAL NURSING OCCUPATIONAL THERAPY OTHER COUNSELINGPHYSICAL THERAPY SOCIAL SERVICES SPEECH PATHOLOGY SPIRITUAL COUNSELING

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 05/02/2019

Hospice & Branches/Residential Facilities (RF) Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

DON & MARILYN ANDERSON AGRACE HOSPICECARE CTR (Agrace HospiceCare), 5395 E CHERYL PKWY, MADISON, WI 53711, Phone: 608-276-466050Beds:

RF:

AGRACE CENTER FOR HOSPICE AND PALLIATIVE CARE (Agrace HospiceCare), 2901 N WRIGHT ROAD, JANESVILLE, WI 53546, Phone: 608-755-187112Beds:

RF:

HSPC875215922031

100020310

2810 CROSSROADS DR SUITE 1900HEARTLAND HOSPICE SERVICES

DANE

KLAUSTERMEIER, RYAN(608)819-0048(608)819-0033

YES09/28/2011

FAWVER, VALERIEMADISON, WI 53718

Services Provided:ART THERAPY BEREAVEMENTDIETARY HOMEMAKERHOSPICE LPNMASSAGE THERAPY MEDICALMUSIC THERAPY NURSINGOCCUPATIONAL THERAPY OTHER COUNSELINGPHYSICAL THERAPY

Main Office Counties Served:ADAMS COLUMBIA DANE DODGEGREEN IOWA JEFFERSON JUNEAULAFAYETTE MARQUETTE ROCK SAUKWALWORTH

HSPC34

551

1962767293

2420 FIRST AVE S SUITE 102UP HEALTH SYSTEM HOME CARE AND HOSPICE

DELTA

PORTER, ANDREW(906)789-9144(906)789-1305

NONORTHEASTERN

LUND, MONICAESCANABA, MI 49829

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE LPNNURSING OCCUPATIONAL THERAPYPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:MARINETTE OCONTO

Branches & Counties Served:UP HEALTH SYSTEM HOME CARE AND HOSPICE, 1110 10TH AVE SUITE 102, MENOMINEE, MI 49858, Phone: 906-863-7877

MARINETTE OCONTO

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Facility

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Department of Health ServicesDivision of Quality Assurance 05/02/2019

Hospice & Branches/Residential Facilities (RF) Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Services Provided by Branches:UP HEALTH SYSTEM HOME CARE AND HOSPICE, 1110 10TH AVE SUITE 102, MENOMINEE, MI 49858, Phone: 906-863-7877BEREAVEMENT DIETARY HOMEMAKER HOSPICE AIDEMEDICAL NURSING OCCUPATIONAL THERAPY PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGY SPIRITUAL COUNSELING

HSPC145215181518

43182100

707 S UNIVERSITY AVEHILLSIDE HOSPICE

DODGE

WEISNICHT, TRICIA(920)887-6815(920)887-4050

YES04/13/1988

JONGEBLOED, DENISEBEAVER DAM, WI 53916

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDEMASSAGE THERAPY MEDICALNURSING OCCUPATIONAL THERAPYPATIENT/FAMILY COMPANION PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGY

Main Office Counties Served:COLUMBIA DANE DODGE FOND DU LACGREEN LAKE JEFFERSON

HSPC715215782015

1083652333

1020 HILL STMARQUARDT HOSPICE

DODGE

WHITE, LISA(920)206-9659(920)206-6202

NO10/19/2006

MEYER, CHERYLWATERTOWN, WI 53098

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDEMEDICAL NURSINGOCCUPATIONAL THERAPY PATIENT/FAMILY COMPANIONPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:CALUMET COLUMBIA DANE DODGEFOND DU LAC GREEN LAKE JEFFERSON KENOSHAMANITOWOC MARQUETTE MILWAUKEE OZAUKEERACINE ROCK SHEBOYGAN WALWORTHWASHINGTON WAUKESHA WAUSHARA WINNEBAGO

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Department of Health ServicesDivision of Quality Assurance 05/02/2019

Hospice & Branches/Residential Facilities (RF) Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

HSPC20

562

43187800

1670 JOHN F KENNEDY ROADHOSPICE OF DUBUQUE

DUBUQUE

NOEL, LAVONNE(563)582-8089(563)582-1220

NOBREHM, JACKIE

DUBUQUE, IA 52002

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDEMEDICAL NURSINGOCCUPATIONAL THERAPY PATIENT/FAMILY COMPANIONPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:GRANT LAFAYETTE

HSPC385215191519

100047794

200 SPRING STMAYO CLINIC HEALTH SYSTEM HOSPICE IN EAU CLAIRE

EAU CLAIRE

SHADBOLT, ERIN(715)464-3536(715)831-0100

YES03/03/1988

MUCKS, KARLYEAU CLAIRE, WI 54703

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE MASSAGE THERAPYMEDICAL MUSIC THERAPYNURSING OCCUPATIONAL THERAPYPATIENT/FAMILY COMPANION PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:BARRON BUFFALO CHIPPEWA CLARKDUNN EAU CLAIRE PEPIN PIERCEPOLK RUSK SAINT CROIX TAYLORTREMPEALEAU

Branches & Counties Served:MAYO CLINIC HEALTH SYSTEM HOSPICE IN EAU CLAIRE, 2403 STOUT ROAD, MENOMONIE, WI 54751, Phone: 715-831-0100

CHIPPEWA DUNN EAU CLAIRE PIERCEPOLK SAINT CROIX

MAYO CLINIC HEALTH SYSTEM HOSPICE IN EAU CLAIRE, 1222 EAST WOODLAND AVE, BARRON, WI 54812, Phone: 715-831-0100

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Department of Health ServicesDivision of Quality Assurance 05/02/2019

Hospice & Branches/Residential Facilities (RF) Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

BARRON CHIPPEWA DUNN POLKRUSK

Services Provided by Branches:MAYO CLINIC HEALTH SYSTEM HOSPICE IN EAU CLAIRE, 2403 STOUT ROAD, MENOMONIE, WI 54751, Phone: 715-831-0100BEREAVEMENT DIETARY HOSPICE AIDE MASSAGE THERAPYMEDICAL MUSIC THERAPY NURSING OCCUPATIONAL THERAPYPHYSICAL THERAPY SOCIAL SERVICES SPEECH PATHOLOGY SPIRITUAL COUNSELING

MAYO CLINIC HEALTH SYSTEM HOSPICE IN EAU CLAIRE, 1222 EAST WOODLAND AVE, BARRON, WI 54812, Phone: 715-831-0100BEREAVEMENT DIETARY HOSPICE AIDE MASSAGE THERAPYMEDICAL MUSIC THERAPY NURSING OCCUPATIONAL THERAPYPHYSICAL THERAPY SOCIAL SERVICES SPEECH PATHOLOGY SPIRITUAL COUNSELING

HSPC965215992040

100074218

1280 W CLAIREMONT AVE SUITE 4ST CROIX HOSPICE

EAU CLAIRE

BARTNESS, HEATH(715)514-3122(715)598-2635

YES01/05/2015

ROSETH, SARAHEAU CLAIRE, WI 54701

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDELPN MEDICALNURSING OCCUPATIONAL THERAPYOTHER COUNSELING PATIENT/FAMILY COMPANIONPHYSICAL THERAPY RESPITESOCIAL SERVICES SPEECH THERAPYSPIRITUAL COUNSELING

Main Office Counties Served:BARRON BUFFALO BURNETT CHIPPEWACLARK DUNN EAU CLAIRE JACKSONLA CROSSE MARATHON MONROE PEPINPIERCE POLK PORTAGE RUSKSAINT CROIX SAWYER TAYLOR TREMPEALEAUWASHBURN WOOD

HSPC845215902028

1710296405

1028 S MAIN ST SUITE CGENERATIONS HOSPICE

FOND DU LAC

WUSTHOFF, JUDIE(920)922-0184(920)922-0134

YES04/07/2011

FABER, DENNISFOND DU LAC, WI 54935

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Department of Health ServicesDivision of Quality Assurance 05/02/2019

Hospice & Branches/Residential Facilities (RF) Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE LPNNURSING OCCUPATIONAL THERAPYOTHER COUNSELING PHYSICAL THERAPYRESPITE SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:COLUMBIA DANE DODGE FOND DU LACGREEN LAKE WASHINGTON WAUSHARA WINNEBAGO

Branches & Counties Served:GENERATIONS HOSPICE, 635 PARK AVE SUITE C, COLUMBUS, WI 53925, Phone:

COLUMBIA DANE DODGEServices Provided by Branches:GENERATIONS HOSPICE, 635 PARK AVE SUITE C, COLUMBUS, WI 53925, Phone:NURSING OCCUPATIONAL THERAPY PHYSICAL THERAPY SOCIAL SERVICESSPEECH THERAPY HOSPICE AIDE NURSING OCCUPATIONAL THERAPYPHYSICAL THERAPY SOCIAL SERVICES SPEECH THERAPY SPIRITUAL COUNSELING

HSPC0715215792014

1407888381

N6650 ROLLING MEADOWS DR SUITE 1HEARTLAND HHC AND HOSPICE

FOND DU LAC

WALES, CHRISTINE(920)906-9036(920)926-1144

YES12/05/2006

WENNINGER, JEANFOND DU LAC, WI 54937

Services Provided:BEREAVEMENT HOSPICE AIDELPN MASSAGE THERAPYMEDICAL NURSINGOCCUPATIONAL THERAPY OTHER COUNSELINGPHYSICAL THERAPY SOCIAL SERVICESSPIRITUAL COUNSELING

Main Office Counties Served:CALUMET COLUMBIA DODGE FOND DU LACGREEN LAKE MANITOWOC MARQUETTE OUTAGAMIEOZAUKEE SHEBOYGAN WASHINGTON WAUPACAWAUSHARA WINNEBAGO

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

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HSPC495215121512

1942274717

239 TROWBRIDGE DRIVEST AGNES HSPTL HOSPICE HOPE

FOND DU LAC

KIRKER, LISA(920)923-7959(920)923-7950

NO09/11/1987

VERCAUTEREN, ZACHARYFOND DU LAC, WI 54937

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDEMEDICAL NURSINGOCCUPATIONAL THERAPY OTHER COUNSELINGPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:CALUMET COLUMBIA DODGE FOND DU LACGREEN LAKE MARQUETTE SHEBOYGAN WASHINGTONWAUSHARA WINNEBAGO

Branches & Counties Served:ST AGNES HOSPITAL HOSPICE HOPE, 745 SOUTH ST, GREEN LAKE, WI 54941, Phone: 920-294-6220

COLUMBIA FOND DU LAC GREEN LAKE MARQUETTEWAUSHARA WINNEBAGO

Services Provided by Branches:ST AGNES HOSPITAL HOSPICE HOPE, 745 SOUTH ST, GREEN LAKE, WI 54941, Phone: 920-294-6220BEREAVEMENT DIETARY HOMEMAKER HOSPICE AIDEMEDICAL NURSING OCCUPATIONAL THERAPY OTHER COUNSELINGPHYSICAL THERAPY SOCIAL SERVICES SPEECH PATHOLOGY SPIRITUAL COUNSELING

HOSPICE HOME OF HOPE (St Agnes Hospital Hospice), 400 HIGHWAY K, FOND DU LAC, WI 54935, Phone: 920-906-100020Beds:

RF:

HSPC42

540

100074283

906 COLLEGE AVEMAYO CLINIC HS RED WING HOSPICE

GOODHUE

STIFTER, MELISSA(651)385-3414(651)385-3410

NOSTEPHENS, BRENDA

RED WING, MN 55066

Lic #Provider #

Facility

Vendor #Fac#

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Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDELPN MASSAGE THERAPYMEDICAL MUSIC THERAPYNURSING OCCUPATIONAL THERAPYPATIENT/FAMILY COMPANION PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:BUFFALO DUNN PEPIN PIERCESAINT CROIX

HSPC11521540516

1841359536

111 S JEFFERSON ST FLOOR 2GRANT COUNTY HOSPICE

GRANT

KINDRAI, JEFFERY(608)723-6501(608)723-6416

NO05/27/1992

MILLER, AMYLANCASTER, WI 53813

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDEMEDICAL NURSINGOCCUPATIONAL THERAPY OTHER COUNSELINGPATIENT/FAMILY COMPANION PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:GRANT

HSPC545215231523

41515200

515 22ND AVETHE MONROE CLINIC HOSPICE

GREEN

SCHWEITZER, LISA(608)324-1302(608)324-1230

NO09/15/1988

ANDERSON, ZOANNEMONROE, WI 53566

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

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Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE MEDICALNURSING OCCUPATIONAL THERAPYPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:GREEN LAFAYETTE ROCK

Branches & Counties Served:THE MONROE CLINIC HOSPICE, 1301 S KIWANNIS DR, FREEPORT, IL 61032, Phone: 815-235-1406

GREEN JO DAVIESS LAFAYETTE ROCKSTEPHENSON WINNEBAGO

Services Provided by Branches:THE MONROE CLINIC HOSPICE, 1301 S KIWANNIS DR, FREEPORT, IL 61032, Phone: 815-235-1406BEREAVEMENT DIETARY HOSPICE AIDE MEDICALNURSING OCCUPATIONAL THERAPY PHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

THE MONROE CLINIC HOSPICE HOME (The Monroe Clinic Hospice), N3252 COUNTY ROAD N, MONROE, WI 53566, Phone: 608-324-34208Beds:

RF:

HSPC32521549545

43185100

218 E SWAYNE ST SUITE 100UPLAND HILLS HOSPICE

IOWA

SCHNEDLER, LISA(608)930-7263(608)930-7210

NO03/03/1994

MCPHAIL, JOYCEDODGEVILLE, WI 53533

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

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Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE LPNMEDICAL NURSINGOCCUPATIONAL THERAPY OTHER COUNSELINGPATIENT/FAMILY COMPANION PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:DANE GRANT IOWA LAFAYETTERICHLAND SAUK

HHA00435215702006

1063516078

311 COUNTY HIGHWAY A SUITE 1BLACK RIVER HOSPICE

JACKSON

WHITE JACOBS, MARY BETH(715)284-3699(715)284-3662

YES04/21/2003

WINN, HOLLYBLACK RIVER FALLS, WI 54615

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE MEDICALNURSING OCCUPATIONAL THERAPYOTHER COUNSELING PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:CLARK EAU CLAIRE JACKSON MONROETREMPEALEAU

HSPC41521555508

43188700

147 W ROCKWELL STRAINBOW HOSPICE CARE

JEFFERSON

LACKE CARRIG, KAREN(920)674-5288(920)674-6255

NO03/30/1995

BROWN, CAROLJEFFERSON, WI 53549

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

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Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDEMEDICAL NURSINGOCCUPATIONAL THERAPY OTHER COUNSELINGPATIENT/FAMILY COMPANION PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:COLUMBIA DANE DODGE JEFFERSONROCK WALWORTH WAUKESHA

RAINBOW HOSPICE CARE, 1225 REMMEL DR, JEFFERSON, WI 53549, Phone: 920-699-45008Beds:

RF:

HSPC195215021502

43180700

10220 PRAIRIE RIDGE BLVDHOSPICE ALLIANCE

KENOSHA

HAGEN, RITA(262)925-1361(262)652-4400

NO12/18/1984

GRONLI, KELLYPLEASANT PRAIRIE, WI 53158

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE LPNMEDICAL NURSINGOCCUPATIONAL THERAPY PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WALWORTH

HOSPICE HOUSE PLEASANT PRAIRIE (Hospice Alliance), 10220 PRAIRIE RIDGE BLVD, PLEASANT PRAIRIE, WI 53158, Phone: 262-652-44008Beds:

RF:

00645215722007

43189900

1910 SOUTH AVE EB0-002GUNDERSEN LUTHERAN MEDICAL CENTER

LA CROSSE

ROSSMAN, SARAH(608)775-8440(608)775-8435

YES04/24/2003

DAVIS, RENEELA CROSSE, WI 54601

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

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Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDEMEDICAL NURSINGOCCUPATIONAL THERAPY PATIENT/FAMILY COMPANIONPHYSICAL THERAPY SOCIAL SERVICESSPEECH THERAPY SPIRITUAL COUNSELING

Main Office Counties Served:BUFFALO JACKSON LA CROSSE MONROETREMPEALEAUVERNON

HSPC105215071507

1275511693

620 11TH ST SOUTHMAYO CLINIC HS FRANCISCAN HOSPICE

LA CROSSE

SIKKINK, KELLY(608)392-9548(608)392-9790

NO01/16/1986

PIPER, JENNIFERLA CROSSE, WI 54601

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE MEDICALMUSIC THERAPY NURSINGOCCUPATIONAL THERAPY PATIENT/FAMILY COMPANIONPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:JACKSON LA CROSSE MONROE TREMPEALEAUVERNON

HSPC31521536524

1841354214

112 E FIFTH AVELE ROYER HOSPICE

LANGLADE

NOVAK, NICOLE(715)623-5788(715)623-2331

YES02/05/1992

FLUGER, NANCYANTIGO, WI 54409

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE MEDICALNURSING OCCUPATIONAL THERAPYPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:FOREST LANGLADE LINCOLN MARATHONMENOMINEE OCONTO ONEIDA SHAWANO

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

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HSPC155215271527

1447350763

2300 WESTERN AVEHOLY FAMILY MEMORIAL HOSPICE

MANITOWOC

NAIDL, NICOLE(920)320-5134(920)320-4235

YES11/16/1989

RENO, NICOLEMANITOWOC, WI 54220

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDELPN MEDICALNURSING OCCUPATIONAL THERAPYPATIENT/FAMILY COMPANION PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:CALUMET KEWAUNEE MANITOWOC SHEBOYGAN

HSPC335215081508

1992891758

1004 WASHINGTON STHOMECARE HEALTH SERVICES HOSPICE

MANITOWOC

SEIDL BABCOCK, LYNN(920)684-8653(920)684-7155

NO04/28/1986

JOHNSON, JENNIFERMANITOWOC, WI 54220

Services Provided:BEREAVEMENT HOSPICE AIDENURSING OCCUPATIONAL THERAPYPHYSICAL THERAPY SOCIAL SERVICESSPEECH THERAPY SPIRITUAL COUNSELING

Main Office Counties Served:CALUMET MANITOWOC SHEBOYGAN

HSPC55215141514

43180600

520 N 32ND AVEASPIRUS COMFORT CARE AND HOSPICE SERVICES

MARATHON

DAVIS, KRISTY(715)847-2606(715)847-2424

YES11/06/1987

RIDER, CYNTHIAWAUSAU, WI 54401

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

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Sub. Administrator

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDELPN MASSAGE THERAPYMASSAGE THERAPY MEDICALNURSING OCCUPATIONAL THERAPYOTHER COUNSELING PATIENT/FAMILY COMPANIONPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:CLARK FOREST LANGLADE LINCOLNMARATHON ONEIDA PORTAGE PRICESHAWANO TAYLOR VILAS WAUPACAWAUSHARA WOOD

HOSPICE HOUSE (Aspirus Comfort Care and Hospice), 530 N 32ND AVE, WAUSAU, WI 54401, Phone: 715-847-25058Beds:

RF:

HSPC905215942034

1215229604

510 N 17TH AVE SUITE AINTERIM HOSPICE AND PALLIATIVE CARE

MARATHON

KAMINSKI, SANDI(715)842-9890(715)842-7707

NO04/23/2013

DELAVAN, TERRYWAUSAU, WI 54401

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDELABORATORY LPNMEDICAL NURSINGOCCUPATIONAL THERAPY PATIENT/FAMILY COMPANIONPHARMACY PHYSICAL THERAPYRESPITE SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:CLARK LANGLADE LINCOLN MARATHONONEIDA PORTAGE SHAWANO TAYLORWOOD

HSPC585215281528

1023145331

1155 HONEY CREEK PARKWAYAURORA AT HOME

MILWAUKEE

JOHNSON, CAROL(414)615-5927(414)615-5900

YES02/23/1990

BRANDT, THERESAWAUWATOSA, WI 53213

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

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Region

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Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE LPNMEDICAL NURSINGOCCUPATIONAL THERAPY OTHER COUNSELINGPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:DANE DODGE FOND DU LAC JEFFERSONKENOSHA MILWAUKEE OZAUKEE RACINEROCK SHEBOYGAN WALWORTH WASHINGTONWAUKESHA

Branches & Counties Served:AURORA AT HOME BURLINGTON, 116 N DODGE ST SUITE 8, BURLINGTON, WI 53105, Phone: 262-757-2575

JEFFERSON KENOSHA MILWAUKEE RACINEROCK WALWORTH WAUKESHA

Services Provided by Branches:AURORA AT HOME BURLINGTON, 116 N DODGE ST SUITE 8, BURLINGTON, WI 53105, Phone: 262-757-2575BEREAVEMENT DIETARY HOSPICE AIDE LPNMEDICAL NURSING OCCUPATIONAL THERAPY PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGY SPIRITUAL COUNSELING

AURORA AT HOME ZILBER FAMILY HOSPICE (Aurora VNA of WI), 1155 HONEY CREEK PARKWAY, WAUWATOSA, WI 53213, Phone: 414-615-593018Beds:

RF:

HSPC955215982039

1336487347

2514 S 102ND ST SUITE 276GRACE HOSPICE

MILWAUKEE

HILDEBRANDT, TRACY(855)845-1846(414)395-8650

YES09/26/2014

GRIFFUS, LISAWEST ALLIS, WI 53227

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

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Sub. Administrator

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDELPN MEDICALNURSING OCCUPATIONAL THERAPYOTHER COUNSELING PATIENT/FAMILY COMPANIONPHYSICAL THERAPY RESPITESOCIAL SERVICES SPEECH THERAPYSPIRITUAL COUNSELING

Main Office Counties Served:DODGE JEFFERSON KENOSHA MILWAUKEEOZAUKEE RACINE WALWORTH WASHINGTONWAUKESHA

HSPC635215682003

431891000

1233 N MAYFAIR RD SUITE 100HEARTLAND HHC AND HOSPICE

MILWAUKEE

BANGS, MICHAEL(414)944-2090(414)944-2000

YES12/14/2000

SALINAS, ROCHELLEMILWAUKEE, WI 53226

Services Provided:BEREAVEMENT HOSPICE AIDELPN MASSAGE THERAPYMEDICAL NURSINGOCCUPATIONAL THERAPY PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:DODGE JEFFERSON KENOSHA MILWAUKEEOZAUKEE RACINE WALWORTH WASHINGTONWAUKESHA

Branches & Counties Served:HEARTLAND HHC AND HOSPICE, 9114 58TH PLACE SUITE 500, KENOSHA, WI 53144, Phone: 262-652-4730

KENOSHA MILWAUKEE RACINE WALWORTHWAUKESHA

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

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Services Provided by Branches:HEARTLAND HHC AND HOSPICE, 9114 58TH PLACE SUITE 500, KENOSHA, WI 53144, Phone: 262-652-4730BEREAVEMENT HOSPICE AIDE LPN MASSAGE THERAPYMEDICAL NURSING OCCUPATIONAL THERAPY PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGY SPIRITUAL COUNSELING

HSPC985216012042

100074303

8777 W FOREST HOME AVEHOLISTIC HOSPICE

MILWAUKEE

LEBBIE, SAHR(414)239-8544(414)231-3130

YES11/17/2017

DECKER, TESSAGREENFIELD, WI 53228

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDELPN MEDICALNURSING OCCUPATIONAL THERAPYOTHER COUNSELING PATIENT/FAMILY COMPANIONPHYSICAL THERAPY RESPITESOCIAL SERVICES SPEECH THERAPYSPIRITUAL COUNSELING

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWASHINGTON WAUKESHA

HSPC18521531525

1780687327

11400 W LAKE PARK DRIVEHORIZON HOMECARE AND HOSPICE

MILWAUKEE

HAYNOR, MARY(414)365-8328(414)365-8300

NO09/13/1990

SCHMIDT, COLEENMILWAUKEE, WI 53224

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 05/02/2019

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Administrator

Region

Sub. Administrator

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDELPN MASSAGE THERAPYMEDICAL MUSIC THERAPYNURSING OCCUPATIONAL THERAPYPATIENT/FAMILY COMPANION PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:DODGE FOND DU LAC JEFFERSON KENOSHAMILWAUKEE OZAUKEE RACINE SHEBOYGANWALWORTH WASHINGTON WAUKESHA

Branches & Counties Served:HORIZON HOME CARE AND HOSPICE, 110 LONE OAK LN SUITE 300, HARTFORD, WI 53027, Phone: 414-673-8400

DODGE FOND DU LAC JEFFERSON KENOSHAMILWAUKEE OZAUKEE RACINE SHEBOYGANWALWORTH WASHINGTON WAUKESHA

Services Provided by Branches:HORIZON HOME CARE AND HOSPICE, 110 LONE OAK LN SUITE 300, HARTFORD, WI 53027, Phone: 414-673-8400BEREAVEMENT DIETARY HOMEMAKER HOSPICE AIDELPN MASSAGE THERAPY MEDICAL MUSIC THERAPYNURSING OCCUPATIONAL THERAPY PATIENT/FAMILY COMPANION PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGY SPIRITUAL COUNSELING

THE KATHY HOSPICE, 3232 PLEASANT VALLEY RD, WEST BEND, WI 53095, Phone: 262-836-71308Beds:

RF:

LAWLIS FAMILY HOSPICE, 13111 N PORT WASHINGTON RD, MEQUON, WI 53097, Phone: 414-365-830014Beds:

RF:

HSPC39521559553

43189400

10150 W NATIONAL AVE SUITE 200KINDRED HOSPICE

MILWAUKEE

HARNISHFEGER, MICHAEL(414)546-3497(414)546-3200

NO02/06/1997

WEBSTER, CORAWEST ALLIS, WI 53227

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

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Administrator

Region

Sub. Administrator

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDELPN MASSAGE THERAPYMEDICAL NURSINGOCCUPATIONAL THERAPY OTHER COUNSELINGPATIENT/FAMILY COMPANION PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:DODGE JEFFERSON KENOSHA MILWAUKEEOZAUKEE RACINE SHEBOYGAN WALWORTHWASHINGTON WAUKESHA

HSPC815215852024

1396938882

4545 N 92ND STLUTHER MANOR HOSPICE

MILWAUKEE

BOYD, DEBBY(414)438-3180(414)847-3041

NO09/29/2008

JOLITZ, JULIEWAUWATOSA, WI 53225

Services Provided:BEREAVEMENT DIETARYHOME HEALTH AIDE HOMEMAKERLPN MEDICALNURSING OCCUPATIONAL THERAPYOTHER PATIENT/FAMILY COMPANIONPHYSICAL THERAPY RESPITESOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:MILWAUKEE OZAUKEE RACINE WASHINGTONWAUKESHA

HSPC 645215712008

1407853112

6737 W WASHINGTON ST SUITE 2150SEASONS HOSPICE PALLIATIVE CARE

MILWAUKEE

PENL, SUSAN(414)203-8311(414)203-8310

YES05/30/2003SOUTHEASTERN

DOLAN ROHDE, SANDRAWEST ALLIS, WI 53214

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 05/02/2019

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Administrator

Region

Sub. Administrator

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDEMEDICAL NURSINGOCCUPATIONAL THERAPY PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:DODGE JEFFERSON MILWAUKEE OZAUKEERACINE WALWORTH WASHINGTON WAUKESHA

SEASONS HOSPICE AT MERRILL HILLS MANOR (Seasons Hospice Palliative Care), 3217 FIDDLERS CREEK DRIVE, WAUKESHA, WI 53188, Phone: 262-523-914Beds:

RF:

HSPC825215882026

1366690679

10101 W WISCONSIN AVEST CAMILLUS HOSPICE

MILWAUKEE

YOUNG, LEE ANNE(414)259-4534(414)258-2418

YES04/21/2010

ONDREJICKA, ANNWAUWATOSA, WI 53226

Services Provided:BEREAVEMENT HOMEMAKERHOSPICE AIDE LPNMEDICAL NURSINGOCCUPATIONAL THERAPY PHYSICAL THERAPYRESPITE SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWASHINGTON WAUKESHA

HSPC60521553547

1538201108

2675 N MAYFAIR RD SUITE 500VITAS HEALTHCARE CORP MIDWEST

MILWAUKEE

LOCICERO, PHYLLIS(414)454-3133(414)257-2600

NO07/07/1994SOUTHEASTERN

VOLD, JULIEWAUWATOSA, WI 53226

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 05/02/2019

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County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDELPN MEDICALNURSING OCCUPATIONAL THERAPYOTHER COUNSELING PATIENT/FAMILY COMPANIONPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:DANE DODGE FOND DU LAC JEFFERSONKENOSHA MILWAUKEE OZAUKEE RACINESHEBOYGAN WALWORTH WASHINGTON WAUKESHA

Branches & Counties Served:VITAS HEALTHCARE CORPORATION MIDWEST, 8338 CORPORATE DR SUITE 100, RACINE, WI 53406, Phone: 262-321-3970

KENOSHA MILWAUKEE RACINE WALWORTHWAUKESHA

Services Provided by Branches:VITAS HEALTHCARE CORPORATION MIDWEST, 8338 CORPORATE DR SUITE 100, RACINE, WI 53406, Phone: 262-321-3970BEREAVEMENT DIETARY HOMEMAKER HOSPICE AIDELPN MEDICAL NURSING OCCUPATIONAL THERAPYOTHER COUNSELING PATIENT/FAMILY COMPANION PHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

VITAS HEALTHCARE CORPORATION MIDWEST, 8300 W BELOIT ROAD, WEST ALLIS, WI 53219, Phone: 414-607-445210Beds:

RF:

HSPC7521561556

1821012311

3070 N 51ST ST SUITE 406WHEATON FRANCISCAN HOSPICE

MILWAUKEE

BARUTHA, PATRICIA(844)887-8728(414)455-9510

NO05/28/1997

ESWINE, SARAHMILWAUKEE, WI 53210

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Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDEMEDICAL NURSINGOCCUPATIONAL THERAPY PATIENT/FAMILY COMPANIONPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWALWORTH WASHINGTON WAUKESHA

Branches & Counties Served:WHEATON FRANCISCAN HH AND HOSPICE, 1055 PRAIRIE DRIVE, RACINE, WI 53406, Phone: 262-417-9393

KENOSHA MILWAUKEE RACINE WALWORTHServices Provided by Branches:WHEATON FRANCISCAN HH AND HOSPICE, 1055 PRAIRIE DRIVE, RACINE, WI 53406, Phone: 262-417-9393BEREAVEMENT DIETARY HOMEMAKER HOSPICE AIDEMEDICAL NURSING NURSING CARE OCCUPATIONAL THERAPYPATIENT/FAMILY COMPANION PHYSICAL THERAPY SOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

HSPC25521547531

1588706329

601 STRAW STHOSPICE TOUCH

MONROE

FRITZ, LAURA(608)374-0256(608)374-0250

YES06/24/1993

BETZ, MARITOMAH, WI 54660

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE LPNMASSAGE THERAPY MEDICALNURSING OCCUPATIONAL THERAPYOTHER COUNSELING PATIENT/FAMILY COMPANIONPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:ADAMS JACKSON JUNEAU MONROESAUK VERNON

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SERENITY HOUSE (Hospice Touch), 601 STRAW STREET, TOMAH, WI 54660, Phone: 608-374-02508Beds:

RF:

HSPC85215091509

1861435471

1571 HIGHWAY 51 NORTH SUITE CDR KATE HOSPICE

ONEIDA

OVSAK, ANN(715)356-8398(715)301-7200

NO08/07/1986

REED ROESER, CHRISTINAARBOR VITAE, WI 54568

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE MASSAGE THERAPYMEDICAL NURSINGOCCUPATIONAL THERAPY PATIENT/FAMILY COMPANIONPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:FOREST IRON LANGLADE LINCOLNONEIDA PRICE VILAS

Branches & Counties Served:MINISTRY HC HOSPICE RHINELANDER, 111 E DAVENPORT ST SUITE 101, RHINELANDER, WI 54501, Phone: 715-301-7210

FOREST IRON LANGLADE LINCOLNONEIDA PRICE VILAS

Services Provided by Branches:MINISTRY HC HOSPICE RHINELANDER, 111 E DAVENPORT ST SUITE 101, RHINELANDER, WI 54501, Phone: 715-301-7210BEREAVEMENT DIETARY HOME HEALTH AIDE MASSAGE THERAPYMEDICAL MEDICAL SOCIAL SERVICE NURSING OCCUPATIONAL THERAPYPATIENT/FAMILY COMPANION PHYSICAL THERAPY SPEECH PATHOLOGY SPIRITUAL COUNSELING

SEASONS OF LIFE (Dr. Kate Hospice), 8951 WOODRUFF RD, WOODRUFF, WI 54568, Phone: 715-356-63868Beds:

RF:

HSPC805215862025

1699955849

316 E FOURTEENTH STST PAUL HOSPICE SERVICES

OUTAGAMIE

REICHELT, BECKY(920)759-3407(920)766-6180

NO10/21/2008

NORDER, SONDRAKAUKAUNA, WI 54130

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Services Provided:BEREAVEMENT DIETARYHOMEMAKER LPNMEDICAL NURSINGOCCUPATIONAL THERAPY PATIENT/FAMILY COMPANIONPHYSICAL THERAPY RESPITESOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:BROWN CALUMET MANITOWOC OUTAGAMIEWINNEBAGO

HSPC555215041504

1881787380

3000 E COLLEGE AVE SUITE ATHEDACARE AT HOME

OUTAGAMIE

VAN BEEK, PATRICIA(920)969-0020(920)969-0919

NO07/02/1985

APPLETON, WI 54915

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE LPNMEDICAL NURSINGOCCUPATIONAL THERAPY PATIENT/FAMILY COMPANIONPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:BROWN CALUMET FOND DU LAC GREEN LAKEMANITOWOC MENOMINEE OCONTO OUTAGAMIEPORTAGE SHAWANO WAUPACA WAUSHARAWINNEBAGO

HOSPICE OF CHERRY MEADOWS (Thedacare at Home), 2600 S HERITAGE WOODS DR, APPLETON, WI 54915, Phone: 920-225-773010Beds:

RF:

HSPC21521532503

1376586701

1840 POST ROAD SUITE 5MINISTRY HC HOSPICE PLOVER

PORTAGE

BARON DOMBROWSKY, JANICE(844)887-0705(715)204-3440

NO03/01/1991NORTHERN

MEYERS, BRITTNEYPLOVER, WI 54467

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Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDEMEDICAL NURSINGOCCUPATIONAL THERAPY OTHER COUNSELINGPATIENT/FAMILY COMPANION PHARMACEUTICALPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:ADAMS LANGLADE LINCOLN MARATHONPORTAGE SHAWANO WAUPACA WAUSHARAWOOD

Branches & Counties Served:MINISTRY HC HOSPICE WAUSAU, 2600 STEWART AVE SUITE 160, WAUSAU, WI 54401, Phone: 715-204-3440

LANGLADE LINCOLN MARATHON PORTAGESHAWANO

Services Provided by Branches:MINISTRY HC HOSPICE WAUSAU, 2600 STEWART AVE SUITE 160, WAUSAU, WI 54401, Phone: 715-204-3440BEREAVEMENT DIETARY HOMEMAKER HOSPICE AIDEMEDICAL NURSING OCCUPATIONAL THERAPY OTHER COUNSELINGPATIENT/FAMILY COMPANION PHARMACEUTICAL PHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

HSPC9521557552

43187000

133 N LAKE AVEFLAMBEAU HOME HEALTH AND HOSPICE

PRICE

HAHN, BETH(715)339-4477(715)339-4371

NO10/24/1996

HECIMOVICH, LIANEPHILLIPS, WI 54555

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Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDEMEDICAL NURSINGOCCUPATIONAL THERAPY PATIENT/FAMILY COMPANIONPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:ASHLAND IRON ONEIDA PRICERUSK SAWYER

HSPC94

2038

100035521

1055 WESTGATE DR SUITE 100ALLINA HEALTH HOSPICE AND PALLIATIVE CARE

RAMSEY

CRIST, JULIA(651)628-2999(651)635-9173

ABICHT SWENSEN, LISASAINT PAUL, MN 55114

Services Provided:BEREAVEMENT

DIETARY HOSPICE AIDELPN MASSAGE THERAPYMEDICAL NURSINGOCCUPATIONAL THERAPY PHYSICAL THERAPYRESPITE SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:PIERCE POLK SAINT CROIX

HSPC97

2041

1134173446

2685 LONG LAKE ROAD SUITE 105HEARTLAND HOME HEALTH CARE AND HOSPICE

RAMSEY

SELVY, JIM(651)633-5733(651)633-6522

YESWILLIS, SHERRIE

ROSEVILLE, MN 55113

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Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDELPN MEDICALNURSING OCCUPATIONAL THERAPYOTHER COUNSELING PATIENT/FAMILY COMPANIONPHYSICAL THERAPY RESPITESOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:BUFFALO PEPIN PIERCE POLKSAINT CROIX TREMPEALEAU

Branches & Counties Served:HEARTLAND HOME HEALTH CARE AND HOSPICE, 3410 OAKWOOD MALL DR SUITE 400, EAU CLAIRE, WI 54701, Phone: 715-214-2485

BARRON BUFFALO CHIPPEWA CLARKDUNN EAU CLAIRE JACKSON PEPINRUSK TAYLOR TREMPEALEAU

Services Provided by Branches:HEARTLAND HOME HEALTH CARE AND HOSPICE, 3410 OAKWOOD MALL DR SUITE 400, EAU CLAIRE, WI 54701, Phone: 715-214-2485BEREAVEMENT HOME HEALTH AIDE MEDICAL NURSINGSOCIAL SERVICES SPIRITUAL COUNSELING

HSPC25215251525

1588667349

655 THIRD ST SUITE 200BELOIT REGIONAL HOSPICE

ROCK

BENNETT, DEIDRE(608)363-7426(608)363-7421

YES02/28/1989

JACKSON, TRINABELOIT, WI 53511

Lic #Provider #

Facility

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Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE LPNMEDICAL NURSINGOCCUPATIONAL THERAPY OTHER COUNSELINGPALLIATIVE CARE PATIENT/FAMILY COMPANIONPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:GREEN ROCK WALWORTH

HSPC36521550544

43185200

901 MINERAL POINT AVEMERCYHEALTH AT HOME

ROCK

WALTERS, ROBERT(608)754-1147(608)754-2201

NO02/18/1994

KUSSMAUL, ANDREAJANESVILLE, WI 53548

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDEMEDICAL NURSINGOCCUPATIONAL THERAPY PATIENT/FAMILY COMPANIONPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:DANE GREEN JEFFERSON ROCKWALWORTH

HSPC135215211521

1578774014

2231 HIGHWAY 12 SUITE 201ADORAY HOSPICE

SAINT CROIX

DELANDER, KELSEY(866)706-7172(715)629-1888

NO04/19/1988

LINNER, KRISBALDWIN, WI 54002

Services Provided:BEREAVEMENT HOSPICE AIDEMEDICAL NURSINGOCCUPATIONAL THERAPY PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:BARRON BURNETT DUNN PIERCEPOLK SAINT CROIX

Lic #Provider #

Facility

Vendor #Fac#

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HSPC915215972035

1619213444

625 COMMERCE DRIVE SUITE 200INTERIM HEALTHCARE HOSPICE OF WESTERN WISCONSIN

SAINT CROIX

EBENSTEINER, LEA(715)377-9623(715)377-9617

NO07/17/2013

ANDERSON, KATIEHUDSON, WI 54016

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDELPN MEDICALNURSING OCCUPATIONAL THERAPYOTHER COUNSELING PATIENT/FAMILY COMPANIONPHARMACY PHYSICAL THERAPYRESPITE SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:BARRON BUFFALO CHIPPEWA DUNNEAU CLAIRE PEPIN PIERCE POLKRUSK SAINT CROIX TREMPEALEAU

HSPC53

535

1225089634

330 EAST 2ND STESSENTIA HEALTH ST MARYS HOSPICE & PALLIATIVE CARE

SAINT LOUIS

CARLSON, SANDRA(218)786-4223(218)786-4020

NOHENDRICKSON, CINDY

DULUTH, MN 55805

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDELPN MEDICALMUSIC THERAPY NURSINGOCCUPATIONAL THERAPY OTHER COUNSELINGPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:BAYFIELD DOUGLAS

HSPC51

537

1265486963

220 N 6TH AVE EASTST LUKES HOSPICE DULUTH

SAINT LOUIS

HAMEL, SUE(218)249-6166(218)249-6100

NOPETERSON, GARY

DULUTH, MN 55805

Lic #Provider #

Facility

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Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDEMEDICAL NURSINGOCCUPATIONAL THERAPY OTHER COUNSELINGPATIENT/FAMILY COMPANION PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:BAYFIELD DOUGLAS

HSPC165215221522

1306990221

1600 JEFFERSON ST SUITE 101SSM HEALTH AT HOME HOSPICE

SAUK

WILLER, LYNNE(866)553-0866(877)356-4514

NO06/27/1988

BOURNE, RICHARDBARABOO, WI 53913

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDELPN MEDICALNURSING OCCUPATIONAL THERAPYPATIENT/FAMILY COMPANION PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:ADAMS COLUMBIA CRAWFORD DANEDODGE GRANT GREEN LAKE IOWAJUNEAU LAFAYETTE MARQUETTE MONROERICHLAND ROCK SAUK VERNON

Branches & Counties Served:SSM HEALTH AT HOME HOSPICE, 2802 WALTON COMMONS LANE, MADISON, WI 53718, Phone: 608-242-1516

DANE DODGE JEFFERSONSSM HEALTH AT HOME HOSPICE, 3700 E RACINE ST, JANESVILLE, WI 53546, Phone: 608-758-4142

DANE GREEN JEFFERSON ROCKWALWORTH

SSM HEALTH AT HOME HOSPICE, 103 1/2 WEST MERRIMAC STREET, DODGEVILLE, WI 53533, Phone: 877-356-4514

CRAWFORD GRANT GREEN IOWA

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LAFAYETTE RICHLANDServices Provided by Branches:SSM HEALTH AT HOME HOSPICE, 2802 WALTON COMMONS LANE, MADISON, WI 53718, Phone: 608-242-1516BEREAVEMENT DIETARY HOMEMAKER HOSPICE AIDENURSING OCCUPATIONAL THERAPY PHYSICAL THERAPY SOCIAL SERVICESSPEECH THERAPY SPIRITUAL COUNSELING

SSM HEALTH AT HOME HOSPICE, 3700 E RACINE ST, JANESVILLE, WI 53546, Phone: 608-758-4142BEREAVEMENT DIETARY HOMEMAKER HOSPICE AIDEMEDICAL NURSING OCCUPATIONAL THERAPY PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGY SPIRITUAL COUNSELING

SSM HEALTH AT HOME HOSPICE, 103 1/2 WEST MERRIMAC STREET, DODGEVILLE, WI 53533, Phone: 877-356-4514BEREAVEMENT DIETARY HOMEMAKER HOSPICEHOSPICE AIDE LPN MEDICAL NURSINGOCCUPATIONAL THERAPY PHYSICAL THERAPY SOCIAL SERVICES SPEECH THERAPYSPIRITUAL COUNSELING

SSM ST CLARE HOSPICE HOUSE (SSM HEALTH AT HOME HOSPICE), 915 12TH ST, BARABOO, WI 53913, Phone: 608-356-09234Beds:

RF:

HSPC865215912030

100074219

414 BROADWAY ST SUITE 200ST CROIX HOSPICE

SAUK

BARTNESS, HEATH(608)448-4202(608)448-4200

YES08/17/2011

ROSETH, SARAHBARABOO, WI 53913

Lic #Provider #

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Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDEMASSAGE THERAPY MEDICALMUSIC THERAPY NURSING CAREOCCUPATIONAL THERAPY OTHER COUNSELINGPATIENT/FAMILY COMPANION PHYSICAL THERAPYRESPITE SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:ADAMS COLUMBIA CRAWFORD DANEDODGE FOND DU LAC GRANT GREENGREEN LAKE JEFFERSON JUNEAU MARQUETTEPORTAGE RICHLAND ROCK SAUKWAUSHARA

Branches & Counties Served:ST CROIX HOSPICE, 409 HALLBERG ST UNIT F, DELAVAN, WI 53115, Phone: 262-725-7021

DODGE JEFFERSON KENOSHA MILWAUKEEOZAUKEE RACINE SHEBOYGAN WALWORTHWASHINGTON WAUKESHA

ST CROIX HOSPICE, 115 W MAIN ST, PLATTEVILLE, WI 53818, Phone: 608-348-2778

CRAWFORD GRANT IOWA LAFAYETTERICHLAND VERNON

Services Provided by Branches:ST CROIX HOSPICE, 409 HALLBERG ST UNIT F, DELAVAN, WI 53115, Phone: 262-725-7021BEREAVEMENT DIETARY HOMEMAKER HOSPICE AIDEMASSAGE THERAPY MEDICAL NURSING OCCUPATIONAL THERAPYOTHER COUNSELING PATIENT/FAMILY COMPANION PHYSICAL THERAPY RESPITESOCIAL SERVICES SPEECH THERAPY SPIRITUAL COUNSELING

ST CROIX HOSPICE, 115 W MAIN ST, PLATTEVILLE, WI 53818, Phone: 608-348-2778BEREAVEMENT DIETARY HOMEMAKER HOSPICE AIDEMASSAGE THERAPY MEDICAL OCCUPATIONAL THERAPY OTHER COUNSELINGPATIENT/FAMILY COMPANION PHYSICAL THERAPY RESPITE SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Lic #Provider #

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HSPC705215762012

1306883947

1026 SOUTH TAYLOR DRCOMPASSUS MILWAUKEE

SHEBOYGAN

DLAPA, MELINDA(920)452-1854(920)452-1851

YES04/10/2006

GONZALES, SHANNASHEBOYGAN, WI 53081

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE MEDICALNURSING OCCUPATIONAL THERAPYOTHER COUNSELING PATIENT/FAMILY COMPANIONPHYSICAL THERAPY SOCIAL SERVICESSPEECH THERAPY SPIRITUAL COUNSELING

Main Office Counties Served:CALUMET DODGE FOND DU LAC GREEN LAKEJEFFERSON KENOSHA MANITOWOC MILWAUKEEOZAUKEE RACINE SHEBOYGAN WALWORTHWASHINGTON WAUKESHA WAUSHARA WINNEBAGO

HSPC745215822019

1598855207

W2850 STATE ROAD 28SHARON S RICHARDSON COMMUNITY HOSPICE

SHEBOYGAN

TETZLAFF, ERIC(920)467-1900(920)467-1800

NO05/11/2007

SEMPLE, LISASHEBOYGAN FALLS, WI 53085

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE MEDICALNURSING OCCUPATIONAL THERAPYPALLIATIVE CARE PATIENT/FAMILY COMPANIONPHYSICAL THERAPY SOCIAL SERVICESSPEECH THERAPY SPIRITUAL COUNSELING

Main Office Counties Served:CALUMET FOND DU LAC MANITOWOC OZAUKEESHEBOYGAN WASHINGTON

SHARON S RICHARDSON COMMUNITY HOSPICE, W2850 STATE ROAD 28, SHEBOYGAN FALLS, WI 53085, Phone: 920-467-180013Beds:

RF:

HSPC6521542532

1538169693

3100 SUPERIOR AVEST NICHOLAS HSPTL HHA AND HOSPICE

SHEBOYGAN

FRANZEN, KIMBERLY(920)457-5951(920)457-5770

YES09/01/1992

KLUTH, DOREENSHEBOYGAN, WI 53081

Lic #Provider #

Facility

Vendor #Fac#

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Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDEMEDICAL NURSINGOCCUPATIONAL THERAPY OTHER COUNSELINGPATIENT/FAMILY COMPANION PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:CALUMET FOND DU LAC MANITOWOC OZAUKEESHEBOYGAN

HSPC175215171517

1164411450

537 W BROADWAY AVEHOPE HOSPICE PALLIATIVE CARE

TAYLOR

WINCHELL, NICOLE(715)748-1268(715)748-3434

NO04/29/1988

SYRYCZUK, NICOLEMEDFORD, WI 54451

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDEMEDICAL NURSINGOCCUPATIONAL THERAPY PATIENT/FAMILY COMPANIONPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:CHIPPEWA CLARK LINCOLN MARATHONPRICE RUSK TAYLOR

HSPC57521544514

1467425488

705 ARENA DRIVEVERNON MEMORIAL HOSPICE

VERNON

HOFFLAND, HOLLIE(608)637-4361(608)637-4362

NO02/05/1993SOUTHERN

WILTROUT, KRISTYVIROQUA, WI 54665

Lic #Provider #

Facility

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Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE MEDICALNURSING OCCUPATIONAL THERAPYPATIENT/FAMILY COMPANION PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:CRAWFORD LA CROSSE MONROE RICHLANDVERNON

BLAND BEKKEDAL CENTER FOR HOSPICE CARE (Vernon Memorial HC), 705 ARENA DR, VIROQUA, WI 54665, Phone: 608-637-43624Beds:

RF:

HSPC675215732009

1194877902

5595 COUNTY ROAD ZCEDAR COMMUNITY HOSPICE

WASHINGTON

MELSTRAND, JESSICA(262)306-2689(262)306-2691

NO06/30/2005

DERUYTER, KELLIWEST BEND, WI 53095

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDELPN MEDICALNURSING OCCUPATIONAL THERAPYOTHER COUNSELING PATIENT/FAMILY COMPANIONPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:DODGE FOND DU LAC OZAUKEE SHEBOYGANWASHINGTON WAUKESHA

HSPC29

548

1245225150

1715 TOWER DRIVE WEST STE 330LAKEVIEW HOSPICE

WASHINGTON

PLOURDE, DENISE(651)430-8505(651)430-3320

NOLARSON, STEPHANIE

STILLWATER, MN 55082

Lic #Provider #

Facility

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Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE LPNMEDICAL NURSINGOCCUPATIONAL THERAPY OTHER COUNSELINGPHARMACY PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:SAINT CROIX

HSPC895215932033

100036093

W175 N11117 STONEWOOD DR SUITE 100SERENITY HOSPICE CARE

WASHINGTON

WESTON, KATHLEEN(262)347-1307(262)735-4297

YES09/27/2012

MANSELL, ROBERTGERMANTOWN, WI 53022

Services Provided:BEREAVEMENT DIETARYDIETARY HOSPICE AIDELPN MASSAGE THERAPYMEDICAL MUSIC THERAPYNURSING OCCUPATIONAL THERAPYPHYSICAL THERAPY RESPITESOCIAL SERVICES SPEECH THERAPYSPIRITUAL COUNSELING

Main Office Counties Served:DODGE FOND DU LAC MILWAUKEE OZAUKEERACINE SHEBOYGAN WALWORTH WASHINGTONWAUKESHA

Branches & Counties Served:SERENITY HOSPICE CARE, 703 FREMONT STREET, KIEL, WI 53042, Phone: 920-827-4555

BROWN CALUMET MANITOWOC OUTAGAMIEWINNEBAGO

Lic #Provider #

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Services Provided by Branches:SERENITY HOSPICE CARE, 703 FREMONT STREET, KIEL, WI 53042, Phone: 920-827-4555BEREAVEMENT DIETARY HOSPICE AIDE LPNMASSAGE THERAPY MEDICAL MUSIC THERAPY NURSINGOCCUPATIONAL THERAPY PHYSICAL THERAPY RESPITE SOCIAL SERVICESSPEECH THERAPY SPIRITUAL COUNSELING

HSPC85

2029

1508018185

7200 HUDSON BLVD N SUITE 100ST CROIX HOSPICE

WASHINGTON

BARTNESS, HEATH(651)735-0126(651)735-3656

NOGARRETT, JENNIFER

OAKDALE, MN 55128

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDELPN MEDICALNURSING CARE OCCUPATIONAL THERAPYOTHER COUNSELING PATIENT/FAMILY COMPANIONPHYSICAL THERAPY RESPITESOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:BARRON BURNETT DOUGLAS DUNNPEPIN PIERCE POLK SAINT CROIXWASHBURN

HSPC00765215832021

1407992985

325 N CORPORATE DR SUITE 260ALLAY HOME AND HOSPICE

WAUKESHA

KUPKOVITS, JENNIFER(262)787-2981(262)787-2980

NO07/03/2007

PFEIL, JODIBROOKFIELD, WI 53045

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 05/02/2019

Hospice & Branches/Residential Facilities (RF) Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE LPNMEDICAL MUSIC THERAPYNURSING OCCUPATIONAL THERAPYOTHER COUNSELING PHYSICAL THERAPYSOCIAL SERVICES SPEECH THERAPYSPIRITUAL COUNSELING

Main Office Counties Served:DANE DODGE JEFFERSON KENOSHAMILWAUKEE OZAUKEE RACINE ROCKSHEBOYGAN WALWORTH WASHINGTON WAUKESHA

Branches & Counties Served:ALLAY HOME AND HOSPICE, N168 W22730 PRAIRIE VIEW LANE, JACKSON, WI 53037, Phone: 262-240-0720

DODGE FOND DU LAC OZAUKEE SHEBOYGANWASHINGTON

ALLAY HOME AND HOSPICE, 725 CORNERSTONE CROSSING, WATERFORD, WI 53185, Phone: 262-634-6603

KENOSHA RACINE ROCK WALWORTHServices Provided by Branches:ALLAY HOME AND HOSPICE, N168 W22730 PRAIRIE VIEW LANE, JACKSON, WI 53037, Phone: 262-240-0720BEREAVEMENT DIETARY HOME HEALTH AIDE LPNMEDICAL MUSIC THERAPY NURSING OCCUPATIONAL THERAPYPHYSICAL THERAPY SOCIAL SERVICES SPIRITUAL COUNSELING

ALLAY HOME AND HOSPICE, 725 CORNERSTONE CROSSING, WATERFORD, WI 53185, Phone: 262-634-6603BEREAVEMENT DIETARY HOME HEALTH AIDE LPNMEDICAL MUSIC THERAPY NURSING OCCUPATIONAL HEALTHPHYSICAL THERAPY SOCIAL SERVICES SPEECH THERAPY SPIRITUAL COUNSELING

HSPC22521556549

1760421739

2204 E MORELAND BLVD SUITE 101ASERACARE HOSPICE

WAUKESHA

FISCH, JAIME(414)607-1782(800)598-5132

YES07/27/1995

RAINEY, PATRICIAWAUKESHA, WI 53186

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 05/02/2019

Hospice & Branches/Residential Facilities (RF) Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDEMEDICAL MUSIC THERAPYNURSING OCCUPATIONAL THERAPYOTHER COUNSELING PATIENT/FAMILY COMPANIONPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:DODGE JEFFERSON KENOSHA MILWAUKEEOZAUKEE RACINE WALWORTH WASHINGTONWAUKESHA

HSPC995216002043

1013453505

125 N EXECUTIVE DR SUITE 100BADGER HOSPICE

WAUKESHA

KUKOWSKI, LAURA(262)290-2824(262)222-1012

YES07/26/2017

KOIER, SARABROOKFIELD, WI 53005

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE MEDICALNURSING OCCUPATIONAL THERAPYOTHER COUNSELING PATIENT/FAMILY COMPANIONPHYSICAL THERAPY RESPITESOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:DODGE JEFFERSON KENOSHA MILWAUKEEOZAUKEE RACINE WALWORTH WASHINGTONWAUKESHA

HSPC101

204513555 BISHOPS COURT SUITE 320BRIGHTON HOSPICE WISCONSIN

WAUKESHA

PETTERSON, RYAN(262)794-3988(262)794-3980

HOWELL, ASHLEYBROOKFIELD, WI 53005

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 05/02/2019

Hospice & Branches/Residential Facilities (RF) Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Services Provided:BEREAVEMENT HOSPICE AIDEMEDICAL NURSINGOCCUPATIONAL THERAPY PHYSICAL THERAPYRESPITE SOCIAL SERVICESSPEECH THERAPY SPIRITUAL COUNSELING

Main Office Counties Served:DODGE JEFFERSON KENOSHA MILWAUKEEOZAUKEE RACINE ROCK WALWORTHWASHINGTON WAUKESHA

HSPC835215892027

1467697896

16655 W BLUEMOUND RD SUITE 275COMPASSIONATE CARE HOSPICE

WAUKESHA

CHYCINSKI, AMBER(414)257-1787(414)257-1708

NO08/08/2010

BUTKA, MELISSACHYCINSKI, AMBERBROOKFIELD, WI 53005

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDELPN MASSAGE THERAPYMEDICAL NURSINGOCCUPATIONAL THERAPY OTHEROTHER COUNSELING PATIENT/FAMILY COMPANIONPHYSICAL THERAPY RESPITESOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:DODGE JEFFERSON KENOSHA MILWAUKEEOZAUKEE RACINE WALWORTH WAUKESHAWASHINGTON

HSPC935215962037

1508209438

13255 W BLUEMOUND RD SUITE 103HOMETOWN HOSPICE AND HOMECARE

WAUKESHA

FIRTH, RICHARD(262)796-0700(262)796-0600

NO09/05/2013

PAUL, JEFFREYBROOKFIELD, WI 53005

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 05/02/2019

Hospice & Branches/Residential Facilities (RF) Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE LPNMEDICAL NURSINGOCCUPATIONAL THERAPY OTHERPHYSICAL THERAPY RESPITESOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWALWORTH WASHINGTON WAUKESHA

Branches & Counties Served:HOMETOWN HOSPICE AND HOMECARE, 6226 BANKERS RD SUITES 5 & 6, MOUNT PLEASANT, WI 53403, Phone: 262-993-8310

KENOSHA MILWAUKEE RACINE WALWORTHWAUKESHA

HOMETOWN HOSPICE AND HOMECARE, 55 S MAIN ST SUITE 240, FOND DU LAC, WI 54935, Phone: 262-933-8310

CALUMET DODGE FOND DU LAC GREEN LAKEMANITOWOC OUTAGAMIE SHEBOYGAN WAUSHARAWINNEBAGO

Services Provided by Branches:HOMETOWN HOSPICE AND HOMECARE, 6226 BANKERS RD SUITES 5 & 6, MOUNT PLEASANT, WI 53403, Phone: 262-993-8310HOSPICE AIDE MASSAGE THERAPY MUSIC THERAPY NURSINGOCCUPATIONAL THERAPY PHYSICAL THERAPY SOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

HOMETOWN HOSPICE AND HOMECARE, 55 S MAIN ST SUITE 240, FOND DU LAC, WI 54935, Phone: 262-933-8310HOSPICE AIDE MASSAGE THERAPY MEDICAL MUSIC THERAPYNURSING OCCUPATIONAL THERAPY PHYSICAL THERAPY SOCIAL SERVICESSPEECH THERAPY SPIRITUAL COUNSELING

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 05/02/2019

Hospice & Branches/Residential Facilities (RF) Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

HSPC1005216022044

850 ELM GROVE RD SUITE 21LEGACY HOSPICE

WAUKESHA

JOHNSON, KARIN(262)879-8016(262)879-8014

YES09/21/2018

JOHNSON, KIMELM GROVE, WI 53122

Services Provided:BEREAVEMENT HOSPICE AIDELPN MEDICALMUSIC THERAPY NURSINGOCCUPATIONAL THERAPY OTHER COUNSELINGPHYSICAL THERAPY RESPITESOCIAL SERVICES SPEECH THERAPYSPIRITUAL COUNSELING

Main Office Counties Served:DODGE JEFFERSON KENOSHA MILWAUKEEOZAUKEE RACINE ROCK WALWORTHWASHINGTON WAUKESHA

HSPC45521537527

1356316160

2000 PEWAUKEE ROAD SUITE CPROHEALTH HOME HOSPICE

WAUKESHA

JACKSON, JULIE(262)928-7446(262)928-7444

NO02/17/1992

MULLEN, KATHLEENWAUKESHA, WI 53188

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE LPNMEDICAL NURSINGOCCUPATIONAL THERAPY PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:COLUMBIA DANE DODGE FOND DU LACGREEN JEFFERSON KENOSHA MILWAUKEEOZAUKEE RACINE ROCK SHEBOYGANWALWORTH WASHINGTON WAUKESHA

ANGELS GRACE HOSPICE (Prohealth Home Hospice), N74 W35908 SERVANTS WAY, OCONOMOWOC, WI 53066, Phone: 920-474-780015Beds:

RF:

HSPC15215261526

1730122342

816 W WINNECONNE AVEAFFINITY VISITING NURSES

WINNEBAGO

NICHOLSON, DONALD(920)727-6568(920)727-2000

NO12/15/1989

HANSSEN, BECKYNEENAH, WI 54956

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 05/02/2019

Hospice & Branches/Residential Facilities (RF) Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Services Provided:BEREAVEMENT DIETARYHOSPICE AIDE MEDICALNURSING OCCUPATIONAL THERAPYPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:BROWN CALUMET FOND DU LAC GREEN LAKEMANITOWOC MARQUETTE OUTAGAMIE WAUPACAWAUSHARA WINNEBAGO

HSPC77

2022

100002511

6000 E STATE ST SUITE 100HEARTLAND HOSPICE SERVICES

WINNEBAGO

WEISS, PAMELA(815)397-8760(815)397-3691

NOSOUTHERN

JOHNSON, ANNEROCKFORD, IL 61108

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDELPN MASSAGE THERAPYMEDICAL NURSINGOCCUPATIONAL THERAPY OTHER COUNSELINGPATIENT/FAMILY COMPANION PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:DANE GREEN JEFFERSON ROCKWALWORTH

HSPC61

561

43189600

175 E WABASHA STWINONA AREA HOSPICE SERVICES

WINONA

HOEG, ROBIN(507)457-4168(507)457-4468

NOKRAGE, CHERYL

WINONA, MN 55987

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 05/02/2019

Hospice & Branches/Residential Facilities (RF) Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Services Provided:BEREAVEMENT DIETARYHOMEMAKER HOSPICE AIDELPN MASSAGE THERAPYMEDICAL MUSIC THERAPYNURSING OCCUPATIONAL THERAPYOTHER COUNSELING PATIENT/FAMILY COMPANIONPHYSICAL THERAPY SOCIAL SERVICESSPEECH PATHOLOGY SPIRITUAL COUNSELING

Main Office Counties Served:BUFFALO LA CROSSE TREMPEALEAU

HSPC235215161516

1861435471

303 W UPHAM ST SUITE 200MINISTRY HOME CARE HOSPICE MARSHFIELD

WOOD

ADDIS, DEBRA(844)887-0043(715)301-7270

NO03/18/1988

BAILEY, AUDREYMARSHFIELD, WI 54449

Services Provided:ABP & RH GROUP BEREAVEMENTDIETARY HOMEMAKERHOSPICE AIDE MEDICALNURSING OCCUPATIONAL THERAPYOTHER COUNSELING PATIENT/FAMILY COMPANIONPHARMACEUTICAL PHYSICAL THERAPYSOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

Main Office Counties Served:ADAMS CHIPPEWA CLARK JUNEAUMARATHON PORTAGE TAYLOR WAUSHARAWOOD

Branches & Counties Served:MINISTRY HC HOSPICE WISCONSIN RAPIDS, 1000 E RIVERVIEW EXPRESSWAY SUITE 180, WISCONSIN RAPIDS, WI 54494, Phone: 715-423-5591

ADAMS CHIPPEWA CLARK PORTAGEWAUSHARA WOOD

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 05/02/2019

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Administrator

Region

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Services Provided by Branches:MINISTRY HC HOSPICE WISCONSIN RAPIDS, 1000 E RIVERVIEW EXPRESSWAY SUITE 180, WISCONSIN RAPIDS, WI 54494, Phone: 715-423-5BEREAVEMENT DIETARY HOMEMAKER HOSPICE AIDEMEDICAL NURSING OCCUPATIONAL THERAPY OTHER COUNSELINGPATIENT/FAMILY COMPANION PHYSICAL THERAPY SOCIAL SERVICES SPEECH PATHOLOGYSPIRITUAL COUNSELING

HOUSE OF THE DOVE (Ministry Home Care Hospice), 1000 W 11TH ST, MARSHFIELD, WI 54449, Phone: 715-389-010012Beds:

RF: