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Lic # Provider # Facility Vendor # Fac# Phone Fax Department of Health Services Division of Quality Assurance 03/09/2020 PCAs & Branches Provider Directory with Branches, Counties & Services County Accredited Participation Date Administrator Region Sub. Administrator PCA467 467 100080541 1345 W MASON ST SUITE L12 CREEKSIDE FAMILY CARE BROWN REED, DAQUET (920)492-8647 BURKE, TOUMI GREEN BAY, WI 54303 Main Office Counties Served : BROWN CALUMET DOOR FOND DU LAC KEWAUNEE MANITOWOC MENOMINEE OCONTO OUTAGAMIE SHAWANO SHEBOYGAN WAUPACA WINNEBAGO PCA338 338 100063320 1600 SHAWANO AVE SUITE 102 GENERATIONS OF CARE BROWN YANG, NOU (920)544-9601 (920)857-1599 YANG, LES GREEN BAY, WI 54303 Main Office Counties Served : BROWN CALUMET DOOR FOND DU LAC KEWAUNEE MANITOWOC OCONTO OUTAGAMIE SHAWANO SHEBOYGAN WINNEBAGO PCA106 106 100008492 509 W WALNUT ST HELPING HANDS CAREGIVERS BROWN BOVA, LINDA (920)593-4624 (920)217-2961 LA COURT, JAMES GREEN BAY, WI 54303 Main Office Counties Served : BROWN CALUMET DOOR FOND DU LAC KEWAUNEE MANITOWOC MARINETTE MENOMINEE OCONTO OUTAGAMIE SHAWANO SHEBOYGAN WINNEBAGO

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Page 1: Provider Directory with Branches, Counties & Services ... · Provider Directory with Branches, Counties & Services County Accredited Participation Date Administrator Region Sub. Administrator

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA467

467

100080541

1345 W MASON ST SUITE L12CREEKSIDE FAMILY CARE

BROWN

REED, DAQUET (920)492-8647

BURKE, TOUMIGREEN BAY, WI 54303

Main Office Counties Served:BROWN CALUMET DOOR FOND DU LACKEWAUNEE MANITOWOC MENOMINEE OCONTOOUTAGAMIE SHAWANO SHEBOYGAN WAUPACAWINNEBAGO

PCA338

338

100063320

1600 SHAWANO AVE SUITE 102GENERATIONS OF CARE

BROWN

YANG, NOU(920)544-9601(920)857-1599

YANG, LESGREEN BAY, WI 54303

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

PCA106

106

100008492

509 W WALNUT STHELPING HANDS CAREGIVERS

BROWN

BOVA, LINDA(920)593-4624(920)217-2961

LA COURT, JAMESGREEN BAY, WI 54303

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

Page 2: Provider Directory with Branches, Counties & Services ... · Provider Directory with Branches, Counties & Services County Accredited Participation Date Administrator Region Sub. Administrator

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA214

214

100040357

1497 6TH STMIDWEST HOME HEALTH CARE

BROWN

LEE, CINDY(920)965-9111(920)965-9112

VANG, MAIGREEN BAY, WI 54304

Main Office Counties Served:BROWN KEWAUNEE MANITOWOC OCONTOOUTAGAMIE SHAWANO WINNEBAGO

Branches & Counties Served:MIDWEST HOME HEALTH CARE, 2500 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081, Phone: 920-784-1824

DANE DODGE FOND DU LAC MILWAUKEEOZAUKEE SHEBOYGAN

PCA038

038

100003331

555 COUNTRY CLUB RDOPTIONS FOR INDEPENDENT LIVING

BROWN

PREMO, SUE(920)490-0700(920)490-8270

GREEN BAY, WI 54313

Main Office Counties Served:BROWN CALUMET DOOR FOND DU LACGREEN LAKE KEWAUNEE MANITOWOC MARINETTEMARQUETTE MENOMINEE OCONTO OUTAGAMIESHAWANO SHEBOYGAN WAUPACA WAUSHARAWINNEBAGO

PCA260

260

100042828

840 WILLARD DR SUITE 202PEACE OF MIND HOME CARE

BROWN

CHANG, YIA (920)267-2962

NORTHEASTERN

CHANG, CHUEGREEN BAY, WI 54304

Page 3: Provider Directory with Branches, Counties & Services ... · Provider Directory with Branches, Counties & Services County Accredited Participation Date Administrator Region Sub. Administrator

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:BROWN CALUMET FOND DU LAC KEWAUNEEMANITOWOC OCONTO OUTAGAMIE SHAWANOSHEBOYGAN WAUPACA WINNEBAGO

PCA333

333

100062435

1676 MAIN STU CARE HOME SERVICES

BROWN

LEE, MAI YANG(920)435-7574(920)327-1565

VANG, BAOGREEN BAY, WI 54302

Main Office Counties Served:BROWN CALUMET DOOR FOND DU LACKEWAUNEE MANITOWOC MARATHON OCONTOOUTAGAMIE PORTAGE SHAWANO SHEBOYGANWINNEBAGO

PCA153

153

100020081

727 E WALNUT ST SUITE CUNITED PERSONAL HOMECARE

BROWN

YANG, KUE(866)631-0083(920)430-2012

VANG YANG, MAI SEEGREEN BAY, WI 54301

Main Office Counties Served:BROWN CALUMET FOND DU LAC KEWAUNEEMANITOWOC MARATHON OCONTO OUTAGAMIEPORTAGE SHAWANO SHEBOYGAN WAUPACAWINNEBAGO

PCA273

273

100044179

3311 PACKERLAND DR SUITE A-18VISITING ANGELS NE WI

BROWN

SCHROEDER, STEVE(920)366-5403(920)366-5402

FLEENER, SUSANDE PERE, WI 54115

Page 4: Provider Directory with Branches, Counties & Services ... · Provider Directory with Branches, Counties & Services County Accredited Participation Date Administrator Region Sub. Administrator

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:BROWN CALUMET DOOR KEWAUNEEMANITOWOC OUTAGAMIE SHAWANO WINNEBAGO

PCA156

156

100021848

840 CHALLENGER DR SUITE 161WISCONSIN HOME HEALTH CARE

BROWN

LEE, THOMAS(920)288-0663(920)288-0661

LEE, DOUAGREEN BAY, WI 54311

Main Office Counties Served:BROWN CALUMET DOOR FOND DU LACKEWAUNEE MANITOWOC OCONTO SHAWANOSHEBOYGAN WINNEBAGO

Branches & Counties Served:WISCONSIN HOME HEALTH CARE, 3007 SOUTH BUSINESS DR SUITE B, SHEBOYGAN, WI 53081, Phone: 920-783-8344

FOND DU LAC MANITOWOC MILWAUKEE OZAUKEESHEBOYGAN

PCA102

102

100008199

106 SOUTH BEAUMONT RDKNAPPS DEVELOPMENT

CRAWFORD

KNAPP, DARCI(608)326-4255(608)326-0434

FREI, DAMONPRAIRIE DU CHIEN, WI 53821

Main Office Counties Served:CRAWFORD GRANT LA CROSSE LAFAYETTERICHLAND

Branches & Counties Served:LORI KNAPP CRAWFORD INC, 1100 S MARQUETTE ROAD, PRAIRIE DU CHIEN, WI 53821, Phone: 608-326-5536

CRAWFORD DANE GRANT GREENIOWA LAFAYETTE VERNON

LORI KNAPP CRAWFORD INC, 1140 SEXTONVILLE RD NO 5, RICHLAND CENTER, WI 53581, Phone: 608-647-5247

Page 5: Provider Directory with Branches, Counties & Services ... · Provider Directory with Branches, Counties & Services County Accredited Participation Date Administrator Region Sub. Administrator

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

COLUMBIA DANE GREEN JUNEAURICHLAND ROCK SAUK WOOD

LORI KNAPP INC ASHLAND, 306 W 3RD ST SUITE 102, ASHLAND, WI 54806, Phone: 715-682-5662

ASHLAND BAYFIELD IRON PRICESAWYER VILAS

LORI KNAPP INC FOND DU LAC, 97 S PIONEER RD STE 200, FOND DU LAC, WI 54935, Phone: 920-907-0949

BROWN CALUMET DODGE FOND DU LACGREEN LAKE JEFFERSON KEWAUNEE MANITOWOCMARQUETTE MILWAUKEE OUTAGAMIE OZAUKEERACINE WALWORTH WASHINGTON WAUKESHAWAUPACA WAUSHARA WINNEBAGO

LORI KNAPP INC, 938 GREEN BAY ST, ONALASKA, WI 54650, Phone: 608-781-4594

BUFFALO CLARK EAU CLAIRE JACKSONLA CROSSE MONROE TREMPEALEAU VERNONWOOD

PCA168

168

100023897

7601 GANSER WAY SUITE 200APARA CARE HEALTH AT HOME

DANE

OTTO, AARON(608)833-3664(608)622-6200

FAGA, JANICEMADISON, WI 53719

Main Office Counties Served:CALUMET COLUMBIA DANE DODGEFOND DU LAC GREEN GREEN LAKE IOWAJEFFERSON MANITOWOC ROCK SAUKSHEBOYGAN WALWORTH WINNEBAGO

PCA450

450

100077267

1777 W MAIN ST SUITE 122CARING MADE EASY HOME CARE

DANE

NINNEMANN, BONITA(608)318-1035(608)695-7734

NINNEMANN, PAULSUN PRAIRIE, WI 53590

Page 6: Provider Directory with Branches, Counties & Services ... · Provider Directory with Branches, Counties & Services County Accredited Participation Date Administrator Region Sub. Administrator

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:DANE DODGE JEFFERSON ROCKSAUK

PCA272

272

100012562

1414 MACARTHUR RDCOMMUNITY LIVING ALLIANCE

DANE

COSTELLO, TODD(608)240-7060(608)242-8335

ENGEL, CORINNAMADISON, WI 53714

Main Office Counties Served:COLUMBIA DANE DODGE GRANTGREEN IOWA JEFFERSON ROCKSAUK WAUKESHA

PCA320

320

100054858

5902 RAYMOND RD SUITE 2COMPASSION CAREGIVERS

DANE

VANG, CINDA(608)467-9510(608)467-9507

YANG, SHEINAMADISON, WI 53711

Main Office Counties Served:COLUMBIA DANE DODGE FOND DU LACGREEN IOWA JEFFERSON LAFAYETTEMARQUETTE ROCK SAUK WAUKESHA

PCA465

465

100080026

2801 INTERNATIONAL LANE SUITE 208ENDEARMENT UNLIMITED

DANE

MCCULLUM, SHAUNTE(608)819-3801(608)807-0408

MOORE, KATRINAMADISON, WI 53704

Main Office Counties Served:COLUMBIA DANE ROCK

Page 7: Provider Directory with Branches, Counties & Services ... · Provider Directory with Branches, Counties & Services County Accredited Participation Date Administrator Region Sub. Administrator

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA138

138

100014484

14 ELLIS POTTER COURT SUITE 103BETERNITY HOMECARE

DANE

THAO, VANG(866)748-3232(608)251-2273

XIONG, MAI CHIAMADISON, WI 53711

Main Office Counties Served:ADAMS COLUMBIA DANE DODGEGREEN GREEN LAKE IOWA JEFFERSONJUNEAU LAFAYETTE MARQUETTE MONROERICHLAND ROCK SAUK

Branches & Counties Served:ETERNITY HOMECARE, 3616 W NATIONAL AVE SUITE 102, MILWAUKEE, WI 53215, Phone: 800-764-8092

KENOSHA MILWAUKEE OZAUKEE RACINESHEBOYGAN WASHINGTON WAUKESHA

PCA328

328

100059974

1320 MENDOTA ST SUITE 110FULL SPECTRUM HEALTH SERVICES

DANE

OBUSEH, FRANCIS (608)237-3525

BLAGOGEE, BENJAMINMADISON, WI 53714

Main Office Counties Served:COLUMBIA DANE DODGE GREENIOWA JEFFERSON ROCK SAUK

PCA308

308

100052075

2801 CROSSROADS DR SUITE 1900HOME CARE ENTERPRISE

DANE

YANG, KAO (608)467-3400

LEE, JEFFMADISON, WI 53718

Main Office Counties Served:DANE

Page 8: Provider Directory with Branches, Counties & Services ... · Provider Directory with Branches, Counties & Services County Accredited Participation Date Administrator Region Sub. Administrator

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA226

226

100066555

2110 N SHERMAN AVELOVE AT HOME

DANE

VANG, MANIVAN(608)338-0446(608)217-3642

VANG, YEELENGMADISON, WI 53704

Main Office Counties Served:COLUMBIA DANE ROCK

PCA532

532213 W COTTAGE GROVE RD SUITE G9MASIREY HOME CARE

DANE

KAMBI, MUSTAPHA(608)839-0842(608)839-0841

DARBOE, ROHEYCOTTAGE GROVE, WI 53527

Main Office Counties Served:COLUMBIA DANE DODGE GREENIOWA JEFFERSON ROCK SAUK

PCA520

5206117 DRISCOLL DRNAJ HEALTH CARE SERVICES

DANE

MTANGO, NAMDORI(608)467-9344(608)416-5513

ORONYI, JAREDMADISON, WI 53718

Main Office Counties Served:COLUMBIA DANE DODGE GREENGREEN LAKE IOWA JEFFERSON KENOSHALAFAYETTE RACINE ROCK SAUKWALWORTH WASHINGTON WAUKESHA

PCA541

54127 N WEBSTER STPROSPER HOME HEALTH CARE

DANE

ABDULLAHI, ISMAHAN (619)398-6388

ABDULLAHI, ASHAMADISON, WI 53703

Page 9: Provider Directory with Branches, Counties & Services ... · Provider Directory with Branches, Counties & Services County Accredited Participation Date Administrator Region Sub. Administrator

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:COLUMBIA DANE GREEN IOWAJEFFERSON ROCK

PCA499

499222 MIDNIGHT PASS SUITE 307SMILING FACES HOME HEALTH

DANE

ISSA, FATHIYA(608)906-8601(608)906-8601

CEESAY, FATOUMATAVERONA, WI 53593

Main Office Counties Served:DANE DODGE ROCK

PCA129

129

43113200

3208 E WASHINGTON AVESOSIAB CARE

DANE

VUE, SHOUA(608)244-1170(608)244-1160

XIONG, LUCYMADISON, WI 53704

Main Office Counties Served:ADAMS DANE DODGE FOND DU LACGREEN GREEN LAKE IOWA JEFFERSONJUNEAU LAFAYETTE MARQUETTE RICHLANDROCK SAUK WALWORTH WASHINGTONWAUKESHA WAUSHARA

PCA142

142

100014956

111 MICHIGAN STADVOCATES IN HOME CARE

DOOR

BIDWELL LOBERG, KAY(920)746-2004(920)746-2000

MEYER, CHERYLSTURGEON BAY, WI 54235

Main Office Counties Served:DOOR KEWAUNEE

Page 10: Provider Directory with Branches, Counties & Services ... · Provider Directory with Branches, Counties & Services County Accredited Participation Date Administrator Region Sub. Administrator

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA037

037

43112700

69 N 28TH ST SUITE 28NORTH COUNTRY INDEPENDENT LIVING

DOUGLAS

GLAESER, JIM(715)392-4636(715)392-9118

SUPERIOR, WI 54880

Main Office Counties Served:ASHLAND BAYFIELD BURNETT DOUGLASIRON PRICE SAWYER WASHBURN

PCA179

179

100027125

903 BONGEY DRIVEADVANCED LIVING CARE

DUNN

YANG, LEE(715)605-0016(715)505-2812

VANG, NTXOOVMASMENOMONIE, WI 54751

Main Office Counties Served:BARRON CHIPPEWA DUNN EAU CLAIREPEPIN PIERCE RUSK SAINT CROIX

PCA033

033

43105700

2920 SCHNEIDER AVE SECENTER FOR INDEPENDENT LIVING

DUNN

SHEEHAN, TIM(715)233-1083(715)233-1070

MENOMONIE, WI 54751

Main Office Counties Served:BARRON CHIPPEWA CLARK DUNNEAU CLAIRE PEPIN PIERCE POLKRUSK SAINT CROIX SAWYER

PCA194

194

100029815

615 S BARSTOW STCLEAR WATER HOME CARE

EAU CLAIRE

XIONG, YER(715)514-1668(715)514-1520

XIONG, CHIANGKERRLENGEAU CLAIRE, WI 54701

Page 11: Provider Directory with Branches, Counties & Services ... · Provider Directory with Branches, Counties & Services County Accredited Participation Date Administrator Region Sub. Administrator

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:BUFFALO CHIPPEWA CLARK DUNNEAU CLAIRE JACKSON LA CROSSE PEPINSAINT CROIX TREMPEALEAU

PCA518

5182016 BRACKETT AVEEAU CLAIRE HOME CARE

EAU CLAIRE

XIONG, ROCKIE(715)514-3492(715)914-3491

XIONG, LILAEAU CLAIRE, WI 54701

Main Office Counties Served:CHIPPEWA DUNN EAU CLAIRE

PCA146

146

100018459

1101 W CLAIREMONT AVE SUITE 2ASUNSHINE PERSONAL CARE AGENCY

EAU CLAIRE

XIONG, LEEYENG(715)514-5562(715)514-5566

VUE, SHOUAEAU CLAIRE, WI 54701

Main Office Counties Served:BARRON BUFFALO CHIPPEWA CLARKDUNN EAU CLAIRE JACKSON PEPINPIERCE SAINT CROIX TREMPEALEAU

PCA453

453

100076774

228 SOUTH MILITARY RD SUITE 204PINNACLE HEALTH SERVICES

FOND DU LAC

LO, LEJA(866)493-9554(404)917-4346

XIONG, YENGFOND DU LAC, WI 54935

Main Office Counties Served:BROWN DODGE FOND DU LAC KENOSHAMILWAUKEE OUTAGAMIE OZAUKEE RACINESHEBOYGAN WALWORTH WAUKESHA

Page 12: Provider Directory with Branches, Counties & Services ... · Provider Directory with Branches, Counties & Services County Accredited Participation Date Administrator Region Sub. Administrator

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA246

246N6520 LUMBER JACK GUY ROADHO CHUNK NATION COMMUNITY HEALTH DEPT

JACKSON

DELONG, AMY(715)284-5107(715)284-9851

PETERSON, SARABLACK RIVER FALLS, WI 54615

Main Office Counties Served:HOUSTON ADAMS CLARK COLUMBIACRAWFORD DANE EAU CLAIRE JACKSONJUNEAU LA CROSSE MARATHON MONROESAUK SHAWANO VERNON WOOD

PCA471

471

100082462

W8172 HIGHWAY BCOUNTRY CARES

JEFFERSON

KASPER, WENDY (920)597-0033

HARDEN, CHRISTOPHERLAKE MILLS, WI 53551

Main Office Counties Served:DANE JEFFERSON ROCK WALWORTH

PCA468

468

100080582

5823 6TH AVEFAMILY FIRST HOME CARE

KENOSHA

USHER, LANAYA (262)696-9469

KODERCA, COLLEENKENOSHA, WI 53140

Main Office Counties Served:KENOSHA MILWAUKEE RACINE

PCA415

415

100069931

2221 63RD ST SUITE BHOME AT HEART PERSONAL CARE SERVICES OF KENOSHA

KENOSHA

ALLISON, SAMIYN (262)653-0055

SIMS, NICKISHAKENOSHA, WI 53143

Page 13: Provider Directory with Branches, Counties & Services ... · Provider Directory with Branches, Counties & Services County Accredited Participation Date Administrator Region Sub. Administrator

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWALWORTH WAUKESHA

PCA166

166

100023466

10505 CORPORATE DR SUITE 105DLOVING HEARTS HOMECARE

KENOSHA

BARNETT, TRACEY(262)355-0444(262)842-2228

BENAVIDES, LINDAPLEASANT PRAIRIE, WI 53158

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WALWORTHWAUKESHA

PCA255

255

100042433

1702 GEORGE STLACROSSE HOME CARE

LA CROSSE

HER, KAYIA (608)519-2914

XIONG, DAOLA CROSSE, WI 54603

Main Office Counties Served:JACKSON LA CROSSE MONROE TREMPEALEAUVERNON

PCA145

145

100016217

1511 GEORGE STLEE QUALITY HOME CARE

LA CROSSE

LEE, SHAWN(608)519-3126(608)519-3124

LEE, KALINLA CROSSE, WI 54603

Main Office Counties Served:LA CROSSE

PCA318

318

100085384

419 SAND LAKE ROAD SUITE HRIVERVIEW HOME HEALTH CARE

LA CROSSE

YANG, CHIA(608)519-9494(608)519-8080

YANG, ALLENONALASKA, WI 54650

Page 14: Provider Directory with Branches, Counties & Services ... · Provider Directory with Branches, Counties & Services County Accredited Participation Date Administrator Region Sub. Administrator

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:EAU CLAIRE JACKSON LA CROSSE MONROETREMPEALEAU

PCA172

172

100026002

1701 WASHINGTON ST SUITE 100HARMONY PERSONAL HOME CARE

MANITOWOC

THAO, YINGKONG(920)686-0464(920)686-0379

THAO, PANGCHEMANITOWOC, WI 54220

Main Office Counties Served:BROWN CALUMET FOND DU LAC MANITOWOCMILWAUKEE OUTAGAMIE SHEBOYGAN WINNEBAGO

PCA177

177

100026656

309 S 2ND AVE SUITE 225COMPASSION PERSONAL HOME CARE

MARATHON

LO, LEE(715)298-6778(715)298-6777

LO, MIKEWAUSAU, WI 54401

Main Office Counties Served:CLARK LANGLADE LINCOLN MARATHONPORTAGE TAYLOR WAUPACA WOOD

PCA160

160

100022289

202 N THIRD AVE SUITE AINSPIRED HOME CARE

MARATHON

LEE, CHLOE(715)848-0184(715)848-0480

LEE, CHUEWAUSAU, WI 54401

Main Office Counties Served:LINCOLN MARATHON OUTAGAMIE PORTAGESHAWANO WINNEBAGO WOOD

PCA418

418

100072066

802 S 8TH AVESOUND HEALTH HOME CARE

MARATHON

SHEA, JONATHON(715)298-8185(715)219-2070

MILLER, RAECHELWAUSAU, WI 54401

Page 15: Provider Directory with Branches, Counties & Services ... · Provider Directory with Branches, Counties & Services County Accredited Participation Date Administrator Region Sub. Administrator

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:CLARK LANGLADE LINCOLN MARATHONONEIDA PORTAGE PRICE SHAWANOTAYLOR WAUPACA WOOD

PCA542

542601 S 32ND AVEWHITE ROSE PLUS

MARATHON

SHAREGH, FOROUD (312)291-1342

NOEKHAH, SEPIDEHWAUSAU, WI 54401

Main Office Counties Served:CLARK LANGLADE LINCOLN MARATHONPORTAGE SHAWANO

PCA024

024

43102200

2500 HALL AVE SUITE BMARINETTE COUNTY HEALTH AND HUMAN SERVICES

MARINETTE

ELSNER, ROBIN(715)732-7767(715)732-7798

MARINETTE, WI 54143

Main Office Counties Served:MARINETTE

PCA025

025

43100200

W3272 WOLF RIVER RDMENOMINEE COUNTY HEALTH AND HUMAN SERVICES

MENOMINEE

NELSON, BARBARA(715)799-3517(715)799-3861

KESHENA, WI 54135

Main Office Counties Served:MENOMINEE

PCA452

452

100079351

11430 W BLUEMOUND DR SUITE 308A 1 COMPASSIONATE CARE SERVICES

MILWAUKEE

MOORE, DELANDRA(414)433-1817(414)662-0300

HUGHES WASHINGTON, CARMUWAUWATOSA, WI 53226

Page 16: Provider Directory with Branches, Counties & Services ... · Provider Directory with Branches, Counties & Services County Accredited Participation Date Administrator Region Sub. Administrator

Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWASHINGTON WAUKESHA

PCA316

316

100054630

7620 W CENTER STA GREATER YOU

MILWAUKEE

JOHNSON, TAMEKA(414)777-4820(414)777-4800

BLAND, JACQULINEMILWAUKEE, WI 53222

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

PCA114

114

100010679

4318 W FOREST HOME AVE SUITE 1A PLUS HOME CARE

MILWAUKEE

BROWN, EDNA(414)434-4749(414)435-0565

LEYDERMAN, ROMANMILWAUKEE, WI 53219

Main Office Counties Served:JEFFERSON KENOSHA MILWAUKEE RACINESHEBOYGAN WALWORTH WAUKESHA

PCA530

5306815 W CAPITAL DR SUITE 116A TO Z QUALITY PERSONAL CARE

MILWAUKEE

HOUSTON, NIKIA(414)763-8680(414)509-8000

SLOAN, TRANEISHAMILWAUKEE, WI 53216

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

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Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA444

444

100075752

6815 W CAPITOL DR SUITE 314A WING AND A CARE

MILWAUKEE

JILES KENDRICKS, LASHUNDRA (414)269-9358

SWIFT, BARBARAMILWAUKEE, WI 53216

Main Office Counties Served:MILWAUKEE OZAUKEE WASHINGTON WAUKESHA

PCA547

5474725 S 26TH STAARAN HOME CARE

MILWAUKEE

BARUD, ABDINASIR (414)552-1882

MEDINA, ALEXANDRAMILWAUKEE, WI 53221

PCA243

243

100040711

1314 W NATIONAL AVEABILITY GROUP

MILWAUKEE

VALONA, JAMES(414)647-9931(414)645-7434

SALVAT, GEORGEMILWAUKEE, WI 53204

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WAUKESHA

Branches & Counties Served:ABILITY GROUP, 3523 DOUGLAS AVE, RACINE, WI 53402, Phone: 262-800-3333

KENOSHA MILWAUKEE RACINE

PCA329

329

100057758

4319 N 76TH ST SUITE 9ABLE LIVING

MILWAUKEE

VANG, KER (414)210-5322

CHANG, LAOMILWAUKEE, WI 53222

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

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Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA228

228

100044530

2745 W LAYTON AVE SUITE 103ABLE PERSONAL CARE

MILWAUKEE

RODRIGUEZ, IVELISSE(414)930-9017(414)930-0571

RODRIGUEZ, ESAUGREENFIELD, WI 53221

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WAUKESHA

PCA517

517

100095154

4803A W BURLEIGH STABOVE CARE

MILWAUKEE

JUBECK, MELISSA (414)204-4000

ROBY HOPSON, SHAKIRAMILWAUKEE, WI 53210

Main Office Counties Served:MILWAUKEE

PCA334

334

100058167

2602 W SILVER SPRING DR SUITE 200ABUNDANCE OF LIFE

MILWAUKEE

YOUNG, NATALIA(844)274-3572(414)256-5000

YOUNG, LATOYAGLENDALE, WI 53209

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWASHINGTON WAUKESHA

PCA296

296

100050174

1672 S 9TH STACCESSIBLE HOME CARE

MILWAUKEE

ADAM, LUUL (414)719-8722

WEST, ANGELAMILWAUKEE, WI 53204

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWAUKESHA

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Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA245

245

100041121

5050 W BROWN DEER RD UPPER UNITACCOMMODATING SOLUTIONS HEALTH CARE

MILWAUKEE

JOYNER, TREMONE (414)446-8390

QUANTRELL, JAZMONBROWN DEER, WI 53223

Main Office Counties Served:MILWAUKEE OZAUKEE WASHINGTON WAUKESHA

PCA365

365

100064359

6110 W CAPITOL DRADORABLE HOME HEALTH CARE

MILWAUKEE

IGONI, IGONI (414)236-4157

OPOKUA, LINDAMILWAUKEE, WI 53216

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWAUKESHA

PCA216

216

100034388

7210 W GREENFIELD AVE SUITE 3ADORE HOME HEALTH

MILWAUKEE

DAMPEER, LAQUITTA(414)375-7767(414)375-7020

SKENANDORE, THERESAWEST ALLIS, WI 53214

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWAUKESHA

PCA356

356

100062983

6001 W CENTER ST SUITE 98LLADVANCE HOME CARE

MILWAUKEE

THAO, KONG(414)444-3742(414)885-0845

XIONG, JULIAMILWAUKEE, WI 53210

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWASHINGTON WAUKESHA

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Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA252

252

1000041849

5918 W NORTH AVEADVANTAGE HOME HEALTH CARE

MILWAUKEE

KING, LAKISHA(414)755-1877(414)299-0072

HILLS, KRISTOPHERMILWAUKEE, WI 53208

Main Office Counties Served:DODGE FOND DU LAC KENOSHA MILWAUKEEOZAUKEE RACINE WASHINGTON WAUKESHA

PCA498

498

100093309

6001 W CENTER ST SUITE 200ADVENT HOME HEALTH SERVICES

MILWAUKEE

IKPEME, GABRIEL(833)833-4806(414)369-4440

LOPER, TRACYMILWAUKEE, WI 53210

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINESHEBOYGAN WAUKESHA

PCA264

264

100042991

6529 W FOND DU LAC AVEAGAPE HOME HEALTH CARE

MILWAUKEE

PARKER, KATIE(414)502-2443(414)502-2442

SCOTT, TRANAISEMILWAUKEE, WI 53218

Main Office Counties Served:JEFFERSON KENOSHA MILWAUKEE OZAUKEERACINE ROCK WALWORTH WASHINGTONWAUKESHA

PCA223

223

100035817

3274 N 77TH ST SUITE 101ALLEGIANCE HOME HEALTH CARE

MILWAUKEE

ROSS, YOLANDA(414)935-2052(414)935-2551

OUTLAW, BRANDIEMILWAUKEE, WI 53222

Main Office Counties Served:MILWAUKEE OZAUKEE RACINE WAUKESHA

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Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA290

290

100047124

7255 W APPLETON AVE SUITE 100ALLIANCE TOTAL CARE

MILWAUKEE

YANG, JEFF (414)269-9899

XIONG, SONGMILWAUKEE, WI 53216

Main Office Counties Served:CALUMET FOND DU LAC KENOSHA MANITOWOCMILWAUKEE OZAUKEE RACINE WAUKESHAWINNEBAGO WASHINGTON

Branches & Counties Served:ALLIANCE TOTAL CARE, 5032 W FOREST HOME AVE SUITE LL, MILWAUKEE, WI 53219, Phone: 414-808-0719

KENOSHA MILWAUKEE OZAUKEE RACINEWASHINGTON WAUKESHA

PCA500

500

100096768

9730 W BLUEMOUND RD SUITE 23AALLY CARE AGENCY

MILWAUKEE

MORRIS, EBONI(877)852-7448(262)330-0630

ANDERSON, SHONTAWAUWATOSA, WI 53226

Main Office Counties Served:MILWAUKEE OZAUKEE WAUKESHA

PCA423

423

100071401

9203 W BLUEMOUND RDALPHA PERSONAL CARE AGENCY

MILWAUKEE

KALAMA, RACHEAL(414)885-0462(414)885-2678

BUTTITTA, NICKMILWAUKEE, WI 53226

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWAUKESHA

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Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA322

322

100056720

3489 N 76TH ST SUITE 203ALTERNATIVE HOME CARE SERVICES

MILWAUKEE

BUCKINGHAM, YOLANDA(414)509-5645(414)509-5354

FAYNE, BRANDONMILWAUKEE, WI 53222

Main Office Counties Served:DODGE FLORENCE JEFFERSON KENOSHAMILWAUKEE OZAUKEE RACINE SHEBOYGANWASHINGTON WAUKESHA

PCA540

5404560 N 40TH STAMITY HEALTH SERVICES

MILWAUKEE

SIMMONS, JOHNNIE MAE (414)510-4893

YORK, LUCINDAMILWAUKEE, WI 53209

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWAUKESHA

PCA175

175

100026118

5628 W VLIET STANGEL HOMECARE

MILWAUKEE

MOHAMED, FUAD(414)287-9867(414)377-0114

DEGUZMAN, HERMINAMILWAUKEE, WI 53208

Main Office Counties Served:DODGE KENOSHA MILWAUKEE OZAUKEERACINE ROCK WASHINGTON WAUKESHA

PCA276

276

100044084

4319 N 76TH ST SUITE 2ARISE PERSONAL CARE SERVICES

MILWAUKEE

KHALIL, NAOMI(414)226-5032(414)461-0535

HARTUNG, CHRISTINEMILWAUKEE, WI 53222

Main Office Counties Served:MILWAUKEE WAUKESHA

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Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA522

522

100095765

9130 W LOOMIS RD SUITE 950ASSISTING HANDS HOME CARE OF SW MILWAUKEE

MILWAUKEE

DAVIS, GREGORY(262)510-0905(262)510-0905

CARDENAS, ELIAFRANKLIN, WI 53132

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

PCA150

150

100020247

1962 W HAMPTON AVEASSURE HOME CARE SERVICES

MILWAUKEE

DELANEY, RELONDIA(414)372-1203(414)372-9888

MORBLEY, SHAWNTAYMILWAUKEE, WI 53209

Main Office Counties Served:MILWAUKEE OZAUKEE RACINE WAUKESHA

PCA217

217

100034350

4319 N 76TH ST SUITE 101ASSURED CARE SERVICES

MILWAUKEE

BROWN, BATINA(414)462-8909(414)462-8908

GOUDY, MARYMILWAUKEE, WI 53222

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WAUKESHA

PCA352

352

100062900

3910 W VERA AVEASSURED HORIZONS

MILWAUKEE

HOLMES, KEYIA(262)478-9107(414)446-8309

LEWIS, DEMETRIMILWAUKEE, WI 53209

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Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

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

PCA431

431

100073281

7607 W TOWNSEND ST SUITE 102AT HOME HEALTH SERVICES

MILWAUKEE

ROBINSON, QUIANA(844)270-1468(414)210-5020

ROBINSON, LAKEYAHMILWAUKEE, WI 53222

Main Office Counties Served:MILWAUKEE RACINE WAUKESHA

PCA231

231

100037380

10721 W CAPITOL DR SUITE 224ATTENTIVE HOME CARE

MILWAUKEE

MOORE, KIM(414)897-0839(414)897-0834

THOMPSON, AMBIAWAUWATOSA, WI 53222

Main Office Counties Served:DANE DODGE JEFFERSON KENOSHAMILWAUKEE OZAUKEE RACINE SHEBOYGANWASHINGTON WAUKESHA

PCA282

282

100044832

7912 W APPLETON AVEBEST CHOICE PERSONAL CARE

MILWAUKEE

STAMOS, ART(414)377-3723(414)306-6005

STAMOS, JANAMILWAUKEE, WI 53218

Main Office Counties Served:DODGE FOND DU LAC JEFFERSON KENOSHAMANITOWOC MILWAUKEE OZAUKEE RACINESHEBOYGAN WALWORTH WASHINGTON WAUKESHA

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Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA482

482

100086797

4239 N 85TH STBETTER CHOICE HOME HEALTHCARE

MILWAUKEE

XIONG, CHUE(414)312-7364(414)617-0843

XIONG, PAMILWAUKEE, WI 53222

Main Office Counties Served:MILWAUKEE OZAUKEE RACINE WASHINGTONWAUKESHA

PCA134

134

100018090

8201 W CAPITOL DR SUITE 120BETTER LIVING HOME HEALTHCARE

MILWAUKEE

VANG, SUSAN(414)435-1253(414)434-1910

VANG, JEFFMILWAUKEE, WI 53222

Main Office Counties Served:MILWAUKEE OZAUKEE RACINE SHEBOYGANWASHINGTON WAUKESHA

PCA458

458

100079511

5019 W NORTH AVE SUITE 210BLESSIT HANDS PERSONAL CARE AGENCY

MILWAUKEE

SPEARS HOOD, ELECTISA(414)239-8166(414)585-0173

NICHOLS, ATIYAHMILWAUKEE, WI 53208

Main Office Counties Served:MILWAUKEE OZAUKEE RACINE WALWORTHWAUKESHA

PCA461

461

100080024

3127 W WISCONSIN AVEBLISS PERSONAL CARE AGENCY

MILWAUKEE

AHMED, SAUD(414)210-4051(414)210-4166

MILLER AHMED, STEFANIEMILWAUKEE, WI 53208

Main Office Counties Served:MILWAUKEE OZAUKEE RACINE WASHINGTONWAUKESHA

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Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA523

523

100095441

6114 W CAPITOL DR SUITE 307BLS HOME CARE

MILWAUKEE

WILLIAMS, BARBRA(414)755-7099(414)374-6584

JOHNSON, LLOYDMILWAUKEE, WI 53216

Main Office Counties Served:MILWAUKEE OZAUKEE WAUKESHA

PCA392

392

100050967

6815 W CAPITAL DR SUITE 309BLUE RIBBON HEALTHCARE

MILWAUKEE

TAYLOR, DANIEL(414)270-1971(414)643-4987

RICHARDSON, DEDRAMILWAUKEE, WI 53216

Main Office Counties Served:KENOSHA MILWAUKEE RACINE

PCA514

5142817 N 17TH STBRIGHTER DAYZ

MILWAUKEE

WILDER, SHANIKA (414)539-3806

SCOTT, TYRANTMILWAUKEE, WI 53206

Main Office Counties Served:MILWAUKEE RACINE WALWORTH WAUKESHA

PCA196

196

100030062

7373 W FOND DU LAC AVEBRIGHTLIFE HOME CARE

MILWAUKEE

LEE, MELINA(920)451-4695(414)763-2627

LEE, LAURENMILWAUKEE, WI 53218

Main Office Counties Served:BROWN CALUMET FOND DU LAC MANITOWOCMILWAUKEE OUTAGAMIE OZAUKEE SHEBOYGANWASHINGTON

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Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA267

267

100044177

6001 W CAPITAL DR SUITE 200BUFORD PERSONAL CARE

MILWAUKEE

SMITH, TERESA(888)322-7096(414)791-3333

BUFORD, KELTONMILWAUKEE, WI 53216

Main Office Counties Served:JEFFERSON MILWAUKEE OZAUKEE WAUKESHA

PCA344

344

100061453

6815 W CAPITOL DR SUITE 310BUTTERFLIES HOME HEALTH SERVICES

MILWAUKEE

POOLE, CURTIS(844)270-1732(414)323-7730

POOLE, CECILEYMILWAUKEE, WI 53216

Main Office Counties Served:DANE DODGE FOND DU LAC KENOSHAMILWAUKEE OZAUKEE RACINE WASHINGTONWAUKESHA

PCA312

312

100052445

8018 W CAPITOL DRIVE SUITE 7CARE MATTERS

MILWAUKEE

JOHNSON, GERMAINE(414)585-0094(414)585-0224

TILLIS, JETUNNEMILWAUKEE, WI 53222

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

PCA311

311

100052840

3535 W OKLAHOMA AVECARINGHANDS HOME HEALTHCARE SERVICES

MILWAUKEE

CHANG, MAI(414)800-5850(414)539-4297

THAO, VANGMILWAUKEE, WI 53215

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Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WAUKESHA

PCA525

5258340 W APPLETON AVE SUITE 300CARRIAGE OF CARING

MILWAUKEE

WASHINGTON, GWINDA (414)522-6613

HANNAH, NASTAJAMILWAUKEE, WI 53224

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWALWORTH WASHINGTON WAUKESHA

PCA181

181

100013583

2645 N MAYFAIR RD SUITE 210CELESTIAL CAREGIVERS

MILWAUKEE

OLSON, MEGAN(414)231-9027(414)395-4286

PETROVIC, MIRAWAUWATOSA, WI 53226

Main Office Counties Served:JEFFERSON KENOSHA MILWAUKEE OZAUKEERACINE ROCK WALWORTH WASHINGTONWAUKESHA

PCA144

144

100015877

11414 W PARK PLACE SUITE 202CENTER OF CARE

MILWAUKEE

JACKSON, LAKEESHA(414)464-8669(414)803-8934

MCNEAL, TAKEYIAMILWAUKEE, WI 53224

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWASHINGTON WAUKESHA

PCA412

412

100071313

2537 W SCOTT STCHAMPION HOME HEALTH CARE

MILWAUKEE

RULE, BRANDON (414)255-9050

MELTON, KIMBERLYMILWAUKEE, WI 53204

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Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:FOND DU LAC JEFFERSON KENOSHA MILWAUKEEOZAUKEE RACINE SHEBOYGAN WASHINGTONWAUKESHA

PCA501

501

100092682

4911 W GOOD HOPE RDCHANGING LIVES HEALTH CARE

MILWAUKEE

OLSON, KRISTIN (414)368-3211

BARRS, CHEMILLEMILWAUKEE, WI 53223

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

PCA494

494

100094286

5315 N 118TH COURTCOMFORT AT HOME HEALTHCARE

MILWAUKEE

LARRY, VALERIE(262)650-1237(414)617-8144

HOWARD, UNDRAYEMILWAUKEE, WI 53225

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWASHINGTON WAUKESHA

PCA332

332

100061827

118 E DAKOTA STCOMFORT PERSONAL CARE SERVICES

MILWAUKEE

VANG, KAO(414)226-6499(414)226-6458

VANG, BAOMILWAUKEE, WI 53207

Main Office Counties Served:MILWAUKEE OZAUKEE WASHINGTON WAUKESHA

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Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA263

263

100043185

11414 W PARK PLACE STE 202 OFFICE 226COMPASSIONATE CARE HOME HEALTH CARE

MILWAUKEE

WELCH, WANDA(414)877-6051(414)269-8506

MILWAUKEE, WI 53224

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

PCA229

229

100036429

11414 W PARK PLACE SUITE 202COMPASSIONATE HEALTHCARE

MILWAUKEE

REA, ANU(262)509-1001(262)244-6242

REA, KEVINMILWAUKEE, WI 53224

Main Office Counties Served:DODGE JEFFERSON MILWAUKEE WASHINGTONWAUKESHA

PCA323

323

100058190

2645 N MAYFAIR RD SUITE 120COMPASSIONATE PERSONAL CARE SERVICES

MILWAUKEE

BULLOCK SLOAN, JENNIFER(414)509-8106(414)509-7114

GREENE, DEBORAHWAUWATOSA, WI 53226

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WAUKESHA

PCA212

212

100035439

2800 W FOREST HOME AVECOMPREHENSIVE HOMECARE

MILWAUKEE

PENA, OBED(414)585-1330(414)585-0083

PENA, ANTHONYMILWAUKEE, WI 53215

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWALWORTH WASHINGTON WAUKESHA

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Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA281

281

100045014

9001 N 76TH ST SUITE 203CONFIDENT CARE HOME HEALTH SERVICES

MILWAUKEE

LEE, ZANG (414)797-2245

YANG, MAIKERMILWAUKEE, WI 53223

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

PCA280

280

100047143

10721 W CAPITOL DR SUITE G102DAVIS AND PADEN HOME HEALTH

MILWAUKEE

DAVIS, DEZIMON (414)249-3063

PADEN, JONALYNWAUWATOSA, WI 53222

Main Office Counties Served:MILWAUKEE WAUKESHA

PCA377

377

100064666

1370 S 74TH ST SUITE 104DEDRICK HOME CARE SERVICES

MILWAUKEE

DEDRICK, SHANELL(414)763-8414(414)539-6096

TILLMAN, DEMETRISWEST ALLIS, WI 53214

Main Office Counties Served:JEFFERSON KENOSHA MILWAUKEE OZAUKEERACINE WAUKESHA

PCA269

269

100043557

7850 W APPLETON AVE SUITE 200DEJIA HOME HEALTH CARE

MILWAUKEE

LEE, THAI (414)585-0766

THAO, LEEMILWAUKEE, WI 53218

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Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:DANE FOND DU LAC JEFFERSON KENOSHAMANITOWOC MILWAUKEE OUTAGAMIE OZAUKEERACINE SHEBOYGAN WASHINGTON WAUKESHAWINNEBAGO

PCA347

347

100065319

9730 W BLUEMOUND RD SUITE 4DEVOTED PERSONAL CARE

MILWAUKEE

HER, KA (414)210-4589

VANG, NTXOOWAUWATOSA, WI 53226

Main Office Counties Served:DODGE JEFFERSON KENOSHA MILWAUKEEOZAUKEE RACINE WASHINGTON WAUKESHA

PCA416

416

100071397

6139 W APPLETON AVEDILIGENT PERSONAL CARE AGENCY

MILWAUKEE

COLLINS, TAMARA(414)988-2511(414)509-5859

MORGAN, AJAMILWAUKEE, WI 53210

Main Office Counties Served:MILWAUKEE

PCA404

404

100069035

11805 W HAMPTON AVE SUITE 103CDIRECT CARE SUPPORTIVE SERVICES

MILWAUKEE

FERGUSON, DETRA (414)213-3966

FERGUSON BENDER, KASHESMILWAUKEE, WI 53225

Main Office Counties Served:FOND DU LAC KENOSHA MILWAUKEE OZAUKEERACINE WAUKESHA

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PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA210

210

100033389

5757 W OKLAHOMA AVE SUITE 200DIVERSITY HOME HEALTH SERVICES

MILWAUKEE

RODRIGUEZ, NYDIA(414)810-4688(414)810-4675

RODRIGUEZ, EVARISTOMILWAUKEE, WI 53219

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINESHEBOYGAN WALWORTH WASHINGTON WAUKESHA

PCA490

490

100087198

3532 E TESCH AVE APT 7DIVERSITY HOME HEALTH

MILWAUKEE

WILLIAMS, RAVN (262)899-9261

MOORE, RASHASAINT FRANCIS, WI 53235

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WAUKESHA

PCA417

417

100069037

10111 W CAPITOL DR SUITE 1DIVINE PATHWAYS

MILWAUKEE

JOHNSON, YOLANDA (414)461-5763

CARTER, KEN ICIAMILWAUKEE, WI 53222

Main Office Counties Served:DODGE FOND DU LAC KENOSHA MILWAUKEERACINE SHEBOYGAN

PCA507

5074155 N 16TH STDIVINITY HOMECARE

MILWAUKEE

JOHNSON, TITANIA (414)378-7386

BILLUPS, ASIAMILWAUKEE, WI 53209

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

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PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA283

283

100048198

4238 N TEUTONIA AVEEDENS POINTE HOME CARE

MILWAUKEE

LEFLORE, KAMYIA (414)316-3750

TURNER, SHAMONEMILWAUKEE, WI 53209

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

PCA247

247

1000041698

6037 N TEUTONIA AVEELEMENTS OF HEALTH

MILWAUKEE

THOMAS, LATONYA (414)462-3383

GREEN, PARISHAMILWAUKEE, WI 53209

Main Office Counties Served:MILWAUKEE

PCA385

385

100065593

7319 N TEUTONIA AVEENTITLED PERSONAL CARE

MILWAUKEE

CHA, ALEX (414)517-1417

VUE, PHAIMILWAUKEE, WI 53209

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

PCA488

488

100086826

4369 S HOWELL AVE SUITE 304ESPERANZA HOME CARE

MILWAUKEE

FELICIANO, JOSE (414)604-6844

LOWRY, RHONDAMILWAUKEE, WI 53207

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Lic #Provider #

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Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:DODGE JEFFERSON KENOSHA MILWAUKEEOZAUKEE RACINE ROCK SHEBOYGANWALWORTH WASHINGTON

PCA516

516

100094255

8018 W CAPITOL DR SUITE 105ESSENTIAL ASSISTANCE

MILWAUKEE

RUSSELL HARE, PHYLLIS (414)491-6962

CARROLL, MARQUESMILWAUKEE, WI 53222

Main Office Counties Served:MILWAUKEE OZAUKEE RACINE WASHINGTONWAUKESHA

PCA511

511

100092383

7518 W FOND DU LAC AVEEXTENDED ARMS HOME CARE

MILWAUKEE

MC DOWELL, MADISON(414)763-7616(414)810-0631

BLACK, FREDERICKMILWAUKEE, WI 53218

Main Office Counties Served:MILWAUKEE WAUKESHA

PCA306

306

100049499

6709 W VILLARD AVEEZRA HOME CARE AGENCY

MILWAUKEE

SANDERS, DORIS(414)462-1960(414)204-8900

SANDERS, BRYANTMILWAUKEE, WI 53218

Main Office Counties Served:MILWAUKEE

PCA174

174

100026189

8008 W CAPITOL DRIVEFAITH FAMILY SERVICES

MILWAUKEE

ZULKOWSKI, KIMBERLEY(414)355-5778(414)461-5733

KLOTH, ANGELINAMILWAUKEE, WI 53222

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Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WALWORTHWAUKESHA

PCA163

163

100022964

2713 S CHICAGO AVEFAITH HOPE AND CHARITY SUPPORTIVE LIVING

MILWAUKEE

HOLMAN, BRIAN(414)764-6702(414)764-6700

LYKE, TAMARASOUTH MILWAUKEE, WI 53172

Main Office Counties Served:MILWAUKEE

PCA249

249

100041842

6051 W BROWN DEER RD SUITE 205FAMILY FOCUS HEALTHCARE SERVICES

MILWAUKEE

POSEY, LANISHA(414)755-1830(414)368-3636

THOMAS, REGINABROWN DEER, WI 53223

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWASHINGTON WAUKESHA

PCA125

125

100012370

3726 W NATIONAL AVEFAMILY HOME HEALTH CARE

MILWAUKEE

VANG, RICK(414)383-1903(414)897-6884

VANG, KABMILWAUKEE, WI 53215

Main Office Counties Served:MILWAUKEE OZAUKEE RACINE WASHINGTONWAUKESHA

PCA478

478

100089531

342 N WATER ST SUITE 600FIRST PRIORITY HOME CARE

MILWAUKEE

WILLIAMS, LORRAINE(414)433-4549(414)676-9025

PRUDE, ERNIEMILWAUKEE, WI 53202

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PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

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

PCA421

421

100071096

2266 N PROSPECT AVE SUITE 401FLORA HOMECARE

MILWAUKEE

IGONI, ADIENAMIKIHE (414)241-4996

IGONI, SUNDAYMILWAUKEE, WI 53202

Main Office Counties Served:MILWAUKEE OZAUKEE RACINE WAUKESHA

PCA370

370

100064959

5319 N 118TH COURTFOCUS HOME HEALTHCARE

MILWAUKEE

LO, LENG(414)446-2304(414)446-2300

XIONG, KANGMILWAUKEE, WI 53225

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINESHEBOYGAN WASHINGTON WAUKESHA

PCA470

470

100081084

8532 W CAPITOL DR SUITE L103FOREVER HOME HEALTH CARE

MILWAUKEE

YANG, MA(414)226-5511(414)226-5482

KOPKA, QUEENMILWAUKEE, WI 53222

Main Office Counties Served:JEFFERSON KENOSHA MILWAUKEE OZAUKEERACINE SHEBOYGAN WASHINGTON WAUKESHA

PCA209

209

100084123

4701 N 76TH ST SUITE 300FREEDOM HOME HEALTHCARE

MILWAUKEE

THAO, NANG(414)431-0848(414)755-8570

THAO, CHAOMILWAUKEE, WI 53218

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Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:DODGE FOND DU LAC JEFFERSON KENOSHAMILWAUKEE RACINE SHEBOYGAN WALWORTHWASHINGTON WAUKESHA

PCA459

459

100081092

5205 N IRONWOOD DR SUITE 200GATEWAY PERSONAL CARE AGENCY

MILWAUKEE

ROBINSON, ROCHELLE (414)488-2224

ROBINSON, JOELMILWAUKEE, WI 53217

Main Office Counties Served:CALUMET COLUMBIA DANE DODGEFOND DU LAC GREEN JEFFERSON KENOSHAMANITOWOC MILWAUKEE OZAUKEE RACINEROCK SHEBOYGAN WALWORTH WASHINGTONWAUKESHA WINNEBAGO

PCA515

515

100094184

7114 W CAPITOL DRGENERATIONAL HOME CARE

MILWAUKEE

LEE, MAIKO(424)897-7869(414)600-1296

HER, CHIAMILWAUKEE, WI 53216

Main Office Counties Served:MILWAUKEE SHEBOYGAN

PCA363

363

100066727

6815 W CAPITOL DR SUITE 107GENTLE HANDS HOME HEALTHCARE

MILWAUKEE

BARNES, CLARISSA (414)207-8724

BARNES, TERESAMILWAUKEE, WI 53216

Main Office Counties Served:JEFFERSON KENOSHA MILWAUKEE RACINEWALWORTH WAUKESHA

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Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA291

291

100047063

5617 W NORTH AVEGIFTED HANDS HOME HEALTHCARE

MILWAUKEE

JOHNSON, CLEANNA(844)272-4154(414)323-7882

PETTAWAY, SYLBREVIAMILWAUKEE, WI 53208

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

PCA425

425

100073133

6424 W FOND DU LAC AVE SUITE 4GOLDEN LIFE HOME HEALTHCARE

MILWAUKEE

VANG, APRIL(262)923-1212(262)219-4194

THAO, TRUEMILWAUKEE, WI 53218

Main Office Counties Served:FOND DU LAC KENOSHA MANITOWOC MILWAUKEEOZAUKEE RACINE SHEBOYGAN WALWORTHWASHINGTON WAUKESHA

PCA202

202

100032184

7577 N TEUTONIA AVEGOLDEN PATH HOME CARE

MILWAUKEE

LEONARD, LEKISHA(414)236-5648(414)236-5208

MITCHELL, TAMIKAMILWAUKEE, WI 53209

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

PCA485

485

100086899

9325 W DARNEL AVEGOSHEN PERSONAL CARE AGENCY

MILWAUKEE

BROWN, ANGELA (414)379-9347

THOMPSON, LISAMILWAUKEE, WI 53224

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Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:MILWAUKEE

PCA278

278

100044176

8626 W GREENFIELD AVE SUITE A100GPHC

MILWAUKEE

KING, NICOSIA(414)964-0720(414)501-2580

TAYLOR, SHONTOEVIAMILWAUKEE, WI 53214

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

PCA116

116

100011394

3246 N TEUTONIA AVEGRACE PERSONAL CARE SERVICES

MILWAUKEE

THORNTON, LANTONA(414)264-4825(414)264-4824

THORNTON, JOHNMILWAUKEE, WI 53206

Main Office Counties Served:JEFFERSON KENOSHA MILWAUKEE OZAUKEERACINE WASHINGTON WAUKESHA

PCA222

222

100035295

8500 W CAPITOL DR SUITE LL101GRACIOUS HOME CARE

MILWAUKEE

MAHAGA, STELLA(414)462-1544(414)462-1534

SSALI, FREDMILWAUKEE, WI 53222

Main Office Counties Served:MILWAUKEE OZAUKEE RACINE WAUKESHA

PCA237

237

100042075

3521 W NATIONAL AVEGREENSPAN HOME HEALTH CARE

MILWAUKEE

YATES, NINA(414)763-6150(414)763-6000

ALDEN, BRADLEYMILWAUKEE, WI 53215

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Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

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

PCA538

538

100097485

3846 W WISCONSIN AVE SUITE 400GUIDED PERSONAL CARE

MILWAUKEE

MAHDI, HALIM(414)263-6852(414)243-2712

MAHDI, MUHAMMADMILWAUKEE, WI 53208

Main Office Counties Served:MILWAUKEE WAUKESHA

PCA313

313

100059519

3619 N 61ST STGUIDING HEARTS HOME HEALTHCARE

MILWAUKEE

THAMES, DOMINIQUE (414)698-8179

ASHFORD, NAPORTIAMILWAUKEE, WI 53216

Main Office Counties Served:MILWAUKEE

PCA435

435

100074156

2824 N 55TH STHANDS THAT HELP PERSONAL CARE AGENCY

MILWAUKEE

KIRK, AALIYAH (414)763-5020

BENFORD, CURTISMILWAUKEE, WI 53210

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWALWORTH WASHINGTON WAUKESHA

PCA394

394

100067661

6868 S ASH STHANDS THAT HELP

MILWAUKEE

PETTIS, ELIZABETH (414)254-9434

GARCIA, ANNETTEOAK CREEK, WI 53154

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Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WAUKESHA

PCA293

293

100046596

10625 W NORTH AVE SUITE 312HEALTH NETWORK OF WISCONSIN

MILWAUKEE

NAVIN, SUZANNE(414)988-9308(414)763-5154

BRENNEMAN, DAWNWAUWATOSA, WI 53226

Main Office Counties Served:MILWAUKEE OZAUKEE WASHINGTON WAUKESHA

PCA279

279

100045028

5600 W BROWN DEER RD SUITE 216HEALTH PROMOTION HOME CARE SERVICES

MILWAUKEE

URBANSKY, EUGENE(414)797-0743(414)801-5775

MAMEDOVA, MEHRIBANBROWN DEER, WI 53223

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

PCA409

409

100073731

7607 W TOWNSEND ST SUITE 106HEALTHY LIVING HOME HEALTHCARE

MILWAUKEE

MOSLEY, MELISSA(414)908-9287(414)231-3159

MOSLEY, NICOLEMILWAUKEE, WI 53222

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINESHEBOYGAN WAUKESHA

PCA398

398

100066476

6040 N LISBON AVE SUITE 104HEART BEAT OF WISCONSIN

MILWAUKEE

PAYNE, SIERIA(262)364-2901(414)231-3311

SALLIS, LAURENMILWAUKEE, WI 53210

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Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:JEFFERSON KENOSHA MILWAUKEE OZAUKEERACINE SHEBOYGAN WALWORTH WASHINGTON

PCA372

372

100063803

5600 W BROWN DEER RD SUITE 106HEART OF HOME CARE SERVICES

MILWAUKEE

BAKER, MARIE(414)446-5989(414)446-5988

ROBINSON, SANTANAMILWAUKEE, WI 53223

Main Office Counties Served:JEFFERSON KENOSHA MILWAUKEE OZAUKEERACINE WASHINGTON WAUKESHA

PCA473

473

100082615

7233 W BURLEIGH STHELPFUL HEALERS

MILWAUKEE

ADAMS, KESHWANNA(414)231-3429(414)231-3788

NOBLIN, CARLETTAMILWAUKEE, WI 53210

Main Office Counties Served:DODGE JEFFERSON KENOSHA MILWAUKEEOZAUKEE RACINE WASHINGTON WAUKESHA

PCA122

122

43114500

5626 N 91ST ST SUITE 203HIGHLANDER HOME HEALTH CARE

MILWAUKEE

VANG, RICHARD(414)461-2332(414)461-2331

XIONG, LEEMILWAUKEE, WI 53225

Main Office Counties Served:KENOSHA LINCOLN MILWAUKEE OZAUKEERACINE SHEBOYGAN WALWORTH WASHINGTONWAUKESHA

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Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA274

274

100043977

8777 W FOREST HOME AVEHOLISTIC HOME HEALTH CARE

MILWAUKEE

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

DECKER, TESSAGREENFIELD, WI 53228

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

PCA317

317

100053643

10111 W CAPITOL DR SUITE 8HOLMES PERSONAL CARE AGENCY

MILWAUKEE

HOLMES, DEREK (414)207-1852

COX, CANDICEWAUWATOSA, WI 53222

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WAUKESHA

PCA187

187

100029040

7720 W BURLIEGH STHOME AT HEART

MILWAUKEE

ANDERSON, KIZZIE(414)461-8690(414)461-2600

ANDERSON, RHONDAMILWAUKEE, WI 53222

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWASHINGTON WAUKESHA

Branches & Counties Served:HOME AT HEART, 4641 W FOREST HOME AVE 1ST FL SUITE A, GREENFIELD, WI 53228, Phone: 414-545-1600

MILWAUKEE WAUKESHA

PCA327

327

100072563

2778 S 35TH ST SUITE 202HONEST FIRST PERSONAL CARE AGENCY

MILWAUKEE

LEE, TOUYER(414)539-3217(414)763-0453

HER, XAIVNTAAJMILWAUKEE, WI 53215

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Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWASHINGTON WAUKESHA

PCA330

330

100058103

250 E WISCONSIN AVE FLR 18HOPE SUPPORTIVE SERVICES

MILWAUKEE

TILLMAN, ELAN (414)916-6771

BENTLEY, TAIKANAMILWAUKEE, WI 53202

Main Office Counties Served:MILWAUKEE

PCA303

303

100050910

1748 N MARTIN LUTHER KING DRIVEIN HOME PERSONAL CARE SERVICES

MILWAUKEE

LOVE, NATASSAH (414)269-9544

PERRY, JANICEMILWAUKEE, WI 53212

Main Office Counties Served:MILWAUKEE

PCA034

034

43104200

540 S FIRST STINDEPENDENCE FIRST

MILWAUKEE

ZARCONE, GINA(414)283-9642(414)291-7520

MILWAUKEE, WI 53204

Main Office Counties Served:MILWAUKEE OZAUKEE WASHINGTON WAUKESHA

PCA502

5021795 W WATER ST # 2513INFINITE HEALTHCARE OF MILWAUKEE

MILWAUKEE

EDWARDS, ROSHAY (414)364-4009

EDWARDS, BELINDAMILWAUKEE, WI 53202

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Lic #Provider #

Facility

Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:DANE DODGE JEFFERSON MILWAUKEEOZAUKEE RACINE SHEBOYGAN WASHINGTONWAUKESHA

PCA487

487

100086818

6815 W CAPITOL DR SUITE 201INNOVATIVE CARE AGENCY

MILWAUKEE

WELLS, SCHIKILA (414)210-4554

YOUNG, NAYOMILWAUKEE, WI 53216

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWAUKESHA

PCA512

512

100091922

6211 N 105TH STINTEGRITY HEALTHCARE SERVICES

MILWAUKEE

EDWARDS, TRACY(414)434-2653(414)446-8741

CHAMBERS, DAVIDMILWAUKEE, WI 53225

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

PCA309

309

100052837

6450 W FOREST HOME AVE SUITE 202INTEGRITY HOME CARE

MILWAUKEE

XAYACHACK, SOUTHIDA (414)395-3166

RASAPHOUMY, NAOMIGREENFIELD, WI 53220

Main Office Counties Served:MILWAUKEE

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Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA419

419

100070574

10514 W BLUEMOUND RD SUITE 102IVORY HOME HEALTHCARE

MILWAUKEE

CURRY, ESSENCE (414)768-2043

BANKS, OCEANAWAUWATOSA, WI 53226

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WASHINGTONWAUKESHA

PCA219

219

100034654

5126 S 108TH STJ AND K HOME CARE SERVICES

MILWAUKEE

SOLOVJEV, JANDRANKA (414)378-8222

HARRIS, KATEHALES CORNERS, WI 53130

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINESHEBOYGAN WALWORTH WASHINGTON WAUKESHA

PCA351

351

100062905

342 N WATER ST SUITE 600JACKSON CARE

MILWAUKEE

JACKSON, ACELIA (414)534-8811

MERRIWETHER, DAMIKIUSMILWAUKEE, WI 53202

Main Office Counties Served:JEFFERSON KENOSHA MILWAUKEE OZAUKEERACINE SHEBOYGAN WALWORTH WAUKESHA

PCA118

118

100011482

7665 N PORT WASHINGTON RD SUITE 201LENDING HANDS HEALTHCARE

MILWAUKEE

KOPSHTEYN, ARKADIY (414)751-7090

LITMANOVICH, BUNYAGLENDALE, WI 53217

Main Office Counties Served:JEFFERSON KENOSHA MILWAUKEE OZAUKEERACINE SHEBOYGAN WASHINGTON WAUKESHA

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Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

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Administrator

Region

Sub. Administrator

Branches & Counties Served:LENDING HANDS HEALTHCARE, 4865 S 27TH ST, GREENFIELD, WI 53221, Phone: 414-988-9442

JEFFERSON KENOSHA MILWAUKEE RACINEWAUKESHA

PCA284

284

100045501

756 N 35TH ST SUITE 205LIFE AND LIBERTY HOME HEALTH CARE

MILWAUKEE

GEORGE, TYWANA(414)755-7337(414)345-1111

WILLIAMS, TOMIKAMILWAUKEE, WI 53208

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

PCA439

439

100086083

7730 W NATIONAL AVELIFE CARE PERSONAL CARE AGENCY

MILWAUKEE

CANNADAY, MOENEEK(414)488-2014(414)488-2011

JACKSON, VANESSAWEST ALLIS, WI 53214

Main Office Counties Served:DANE KENOSHA MILWAUKEE OZAUKEERACINE ROCK SHEBOYGAN WASHINGTONWAUKESHA

PCA509

5096225 W FAIRVIEW AVE APT 4LIFE GOT BETTER HOME HEALTH CARE

MILWAUKEE

LINZY, TIARA (414)202-5281

HOOD, MARLONMILWAUKEE, WI 53213

Main Office Counties Served:MILWAUKEE

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Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA443

443

100077723

1408 S 24TH ST UNIT 1LIFE LIVING HOME HEALTH CARE

MILWAUKEE

VANG, KAR (414)763-4990

YANG, MIKARMILWAUKEE, WI 53204

Main Office Counties Served:MILWAUKEE OZAUKEE RACINE WAUKESHA

PCA182

182

100027746

4234 N 76TH ST SUITE ALIFE TOUCHES HOME HEALTHCARE

MILWAUKEE

GEORGE, TYWANA(866)255-6996(414)465-5433

WILLIAMS, TOMIKAMILWAUKEE, WI 53222

Main Office Counties Served:MILWAUKEE OZAUKEE RACINE WASHINGTONWAUKESHA

PCA259

259

100042636

6917 W OKLAHOMA AVE SUITE 2LINAS HOME CARE

MILWAUKEE

BARAJAS, EDUARDO (414)539-3552

BARAJAS, ELIZABETHMILWAUKEE, WI 53219

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WAUKESHA

PCA544

5447208 W MEDFORD AVELIVEWELL HOME HEALTH CARE

MILWAUKEE

EKWUEME, CORDELIA (414)204-6262

ADEBOGUN, REMILEKUNMILWAUKEE, WI 53218

Main Office Counties Served:MILWAUKEE OZAUKEE RACINE WAUKESHA

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Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

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Administrator

Region

Sub. Administrator

PCA336

336

100060097

8531 W CAPITOL DRLIVING PROOF PERSONAL CARE AGENCY

MILWAUKEE

CAMPBELL, KELLY(414)800-7095(414)897-8779

MEALING, VIVIANMILWAUKEE, WI 53222

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WASHINGTONWAUKESHA

PCA475

475

100083288

2177 N 55TH STLLOYDS HOME HEALTH

MILWAUKEE

STOKES, TYANE (414)509-6374

STOKES, BRIANNAMILWAUKEE, WI 53208

Main Office Counties Served:JEFFERSON KENOSHA MILWAUKEE OZAUKEEPRICE SHEBOYGAN WALWORTH WAUKESHA

PCA492

4926830 W VILLARD AVE SUITE 308LOVE AT FIRST SIGHT HOME HEALTH CARE

MILWAUKEE

COLEMAN, PHILECIA (414)888-0947

COLEMAN, MARQUASHAMILWAUKEE, WI 53218

Main Office Counties Served:FOND DU LAC KENOSHA MILWAUKEE RACINESHEBOYGAN WAUKESHA

PCA535

5356222 W CAPITOL DR SUITE 202LOVE WITH CARE HOME HEALTH CARE

MILWAUKEE

LOVE, STEVEN(414)212-8201(414)212-8201

YARBROUGHT, LECHELLEMILWAUKEE, WI 53216

Main Office Counties Served:VILAS

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Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

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Administrator

Region

Sub. Administrator

PCA289

289

100046701

4848 S 76TH ST #205MADISON HOME CARE

MILWAUKEE

HAJI, ABSHIR (614)822-7532

YAROW, MOHAMEDGREENFIELD, WI 53220

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINESHEBOYGAN WALWORTH WASHINGTON WAUKESHA

PCA528

5284758 100TH STMASTARD SEED PERSONAL CARE AGENCY

MILWAUKEE

KABURU, SUSAN (414)380-2534

GYAMFI, ABIGAILWAUWATOSA, WI 53225

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WALWORTHWAUKESHA

PCA191

191

100029426

2020 W WELLS STMCFI HOME CARE

MILWAUKEE

ZYWICKI, TERI(414)918-8572(414)290-0050

KASABUSKE, KATHERINEMILWAUKEE, WI 53233

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

PCA275

275

100045825

1672 S 9TH ST UNIT BMERCY HOME HEALTH CARE

MILWAUKEE

KARSHE, ABDIKARIM(414)616-1499(414)217-3651

ANAELE DIBIA, VICTORIAMILWAUKEE, WI 53204

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Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

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

PCA436

436

100062869

7071 S 13TH ST SUITE 103METRO HOME HEALTH CARE

MILWAUKEE

FARAH, OMAR(414)455-4602(414)431-8777

ADEN, SAIDOAK CREEK, WI 53154

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

PCA405

405

100069346

7315 N TEUTONIA AVEMQH HOME HEALTHCARE

MILWAUKEE

RODGERS, GERALDINE (414)206-4365

ROGERS, RUBYMILWAUKEE, WI 53209

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WALWORTHWASHINGTON WAUKESHA

PCA140

140

100014873

3510 W BURNHAM ST SUITE A200MY HOME CARE

MILWAUKEE

THAO, KOUA(414)342-8332(414)342-8300

THAO, NANGMILWAUKEE, WI 53215

Main Office Counties Served:KENOSHA MILWAUKEE RACINE SHEBOYGANWAUKESHA

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PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA353

353

100063249

10721 W CAPITOL DR SUITE 210NASH HOME HEALTHCARE

MILWAUKEE

NASH, VINCENT(844)466-8398(414)305-6470

NASH, MARVAMILWAUKEE, WI 53222

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWASHINGTON WAUKESHA

PCA302

302

100048471

4729 N 76TH STNATURAL CARE SERVICES

MILWAUKEE

ROBERTSON, TIA(414)395-3070(414)395-3044

WHITESIDE, DYRESHAMILWAUKEE, WI 53218

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWASHINGTON WAUKESHA

PCA395

395

100066691

12201 W NORTH AVE SUITE 101OMNI PERSONAL CARE

MILWAUKEE

SHIELDS, KIANTE(262)342-2673(414)376-5845

HALL, DEANNAWAUWATOSA, WI 53226

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWALWORTH WASHINGTON WAUKESHA

Branches & Counties Served:OMNI PERSONAL CARE, 2810 CROSSROADS DR SUITE 4000, MADISON, WI 53718, Phone: 833-576-0356

DANE

PCA480

480

100090583

130 W OAK LEAF DR UNIT 12ONE LOVE PERSONAL CARE

MILWAUKEE

ALEXANDER, LATOYA(263)364-2428(414)213-9256

PAIGE, JOSETTEOAK CREEK, WI 53154

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Department of Health ServicesDivision of Quality Assurance 03/09/2020

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County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WALWORTHWAUKESHA

PCA193

193

100029641

2772 N MARTIN LUTHER KING JR DR SUITE 105OPTIMUM HOME HEALTH CARE

MILWAUKEE

JOSEPH, GREGORY(414)988-9599(414)399-3850

SCOTT, JOHNNAMILWAUKEE, WI 53212

Main Office Counties Served:DANE KENOSHA MILWAUKEE OZAUKEERACINE WAUKESHA

PCA529

5296815 W CAPITAL DR SUITE 312PAMELAS LIFE CHANGING MOMENTS

MILWAUKEE

OWENS, PAMELA(414)800-4009(414)234-7921

AGEE, SOPHIEAMILWAUKEE, WI 53216

Main Office Counties Served:DANE JEFFERSON ROCK

PCA545

5452334 N 124TH ST SUITE 103PASSION HOME CARE

MILWAUKEE

YANG, VUE(877)228-5362(414)514-9486

YANG, CRYSTALMILWAUKEE, WI 53226

PCA388

388

100067069

11430 W BLUEMOUND RD SUITE 103PEACE OF MIND HOME HEALTH

MILWAUKEE

SHKOLNIKOV, OLGA(414)755-7696(414)755-9309

BLAKE, ANGELAWAUWATOSA, WI 53226

Main Office Counties Served:JEFFERSON MILWAUKEE OZAUKEE WASHINGTONWAUKESHA

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Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA408

408

100090269

6040 W LISBON AVE SUITE 207PEOPLES CHOICE PERSONAL CARE

MILWAUKEE

YANG, CHUNG(866)859-0295(414)239-8101

VANG, AEMILWAUKEE, WI 53210

Main Office Counties Served:DODGE MILWAUKEE WASHINGTON WAUKESHA

PCA489

489

100086649

1370 S 74TH ST SUITE 101PERSONAL CARE PLUS AGENCY

MILWAUKEE

BRYAN, KYMNESHIA(877)803-7696(414)259-1573

JULGA, CHRISTINEWEST ALLIS, WI 53214

Main Office Counties Served:MILWAUKEE WAUKESHA

PCA185

185

100028482

6944 N PORT WASHINGTON RD SUITE 204PERSONAL CARE SOLUTIONS

MILWAUKEE

JORDAN, SABRINA(414)540-9890(414)540-2150

TRUNNELL, ALICEMILWAUKEE, WI 53217

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWALWORTH WASHINGTON WAUKESHA

PCA349

349

100063322

6815 W CAPITOL DR SUITE 200PINNACLE HOME HEALTH CARE

MILWAUKEE

LEWIS, DEBBIE (262)225-1717

WINTERS, VICTORIAMILWAUKEE, WI 53216

Main Office Counties Served:DANE KENOSHA MILWAUKEE OZAUKEERACINE WAUKESHA

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Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA506

506

100090289

4200 N HOLTON ST SUITE 100PLEASANTVILLE HOME CARE AGENCY

MILWAUKEE

MCCARTHY, PATRICIA (414)759-6059

MARTIN, KEITHMILWAUKEE, WI 53212

Main Office Counties Served:DANE KENOSHA MILWAUKEE RACINESHEBOYGAN WASHINGTON WAUKESHA

PCA204

204

100032859

7929 N 76TH STPREFERRED HOME CARE

MILWAUKEE

MPANJA, JULIET (414)760-1100

JOHNSON, TRUDIEMILWAUKEE, WI 53223

Main Office Counties Served:FOND DU LAC JEFFERSON MILWAUKEE OZAUKEESHEBOYGAN WASHINGTON WAUKESHA

PCA521

521

100095822

10520 W BLUEMOUND RD #105PREMIER PERSONAL CARE AGENCY

MILWAUKEE

KALAMA, RACHEAL(414)885-0462(414)628-2774

WILLISON, HEIDIWAUWATOSA, WI 53226

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWAUKESHA

PCA357

357

100062907

10520 W BLUEMOUND RD #100PRESCOTT PERSONAL CARE AGENCY

MILWAUKEE

PRESCOTT, DIANE(833)556-4406(414)585-0890

PRESCOTT, DIANEMILWAUKEE, WI 53226

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Vendor #Fac#

PhoneFax

Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:DODGE FOND DU LAC JEFFERSON KENOSHAMILWAUKEE OZAUKEE RACINE WASHINGTONWAUKESHA

PCA253

253

100043422

7915 W APPLETON AVE SUITE 201PRIORITY HOME CARE

MILWAUKEE

PERINE, LAMONE(414)393-0401(414)393-0400

O KELLEY, TASHAWNAMILWAUKEE, WI 53218

Main Office Counties Served:MILWAUKEE WAUKESHA

PCA200

200

100030779

5800 W HEMLOCK STPRO PROVIDERS PERSONAL CARE AGENCY

MILWAUKEE

GUY, CORY(414)777-0205(414)777-0202

GUY, KAWANYAMILWAUKEE, WI 53223

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWALWORTH WASHINGTON WAUKESHA

PCA396

396

100067668

12201 W BURLEIGH ST SUITE 10PROFOUND HOME HEALTH CARE

MILWAUKEE

SOLES, TERESA (414)488-2666

SOLES, FANETRAWAUWATOSA, WI 53226

Main Office Counties Served:MILWAUKEE RACINE WAUKESHA

PCA240

240

100041711

6424 W FOND DU LAC AVE UNIT 1QUANTUM CARE

MILWAUKEE

BANKS, TERRELL (414)803-7821

BANKS, DEANNAMILWAUKEE, WI 53218

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Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWAUKESHA

PCA369

369

100064736

3223 W LLOYD STREDEEMING HEARTS HOME CARE AGENCY

MILWAUKEE

ANDERSON, BARBARA (414)323-4243

ANDERSON, SANDRAMILWAUKEE, WI 53208

Main Office Counties Served:BROWN DANE FOND DU LAC KENOSHAMILWAUKEE OZAUKEE RACINE SHEBOYGANWASHINGTON WAUKESHA WINNEBAGO

Branches & Counties Served:REDEEMING HEARTS HOME CARE AGENCY OF SHEBOYGAN, 1431 S 8TH ST SUITE 2, SHEBOYGAN, WI 53081, Phone: 920-395-2655

BROWN CALUMET DODGE FOND DU LACMANITOWOC OZAUKEE WASHINGTON WINNEBAGO

PCA270

270

100044007

1951 N DR MARTIN LUTHER KING DRIVERELIABLE FAMILY SERVICES

MILWAUKEE

JACKSON, AISHA(414)323-7527(414)323-7515

SANDERS, JENNIFERMILWAUKEE, WI 53212

Main Office Counties Served:JEFFERSON KENOSHA MILWAUKEE OZAUKEERACINE WASHINGTON WAUKESHA

PCA348

348

100062870

6601 W OKLAHOMA AVERENEWED HOPE HOME CARE

MILWAUKEE

VANG, YER(414)585-9608(414)585-9603

HER, DAVIDMILWAUKEE, WI 53219

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Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:FOND DU LAC MILWAUKEE OZAUKEE RACINESHEBOYGAN WAUKESHA

PCA442

442

100075604

11414 W PARK PLACE SUITE 202REST ASSURED HOME HEALTHCARE

MILWAUKEE

WROTEN, KIMBERLY (414)426-5954

WILLIAMS, MAKAYLAMILWAUKEE, WI 53224

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WAUKESHA

PCA456

456

100079505

5132 N 60TH STRIGHTSTAR CARE

MILWAUKEE

NORAH, CHERYL(414)755-0646(414)628-3433

RASH, QUADRIKEMILWAUKEE, WI 53218

Main Office Counties Served:MILWAUKEE OZAUKEE WAUKESHA

PCA486

486

100091399

11204 W GREENFIELD AVESENIOR BRIDGE CARE

MILWAUKEE

COBURN, KENTOCC (414)988-2228

FUNCHES, TIFFANYWEST ALLIS, WI 53214

Main Office Counties Served:FOND DU LAC KENOSHA MILWAUKEE RACINESHEBOYGAN

PCA496

496

100095702

1333 COLLEGE AVE SUITE JSERVING AMBASSADOR

MILWAUKEE

STRONG, ROSETTA(414)760-0444(262)415-5609

BENTLEY, CANDACESOUTH MILWAUKEE, WI 53172

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Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:JEFFERSON KENOSHA MILWAUKEE OZAUKEERACINE SHEBOYGAN WASHINGTON WAUKESHA

PCA508

508

100076672

9203A W BLUEMOUND RDSIGNATURE HOME CARE

MILWAUKEE

COLEMAN, DOMINIQUE(414)252-0849(414)252-0482

BRITTON HAZELY, MELANIEMILWAUKEE, WI 53226

Main Office Counties Served:DOOR

PCA466

466

100080579

1845 N FARWELL AVE SUITE 305SILVERCARE PREMIER HOMECARE SERVICE

MILWAUKEE

BILLINGSLEY, YOLANDA (414)909-2909

PACE, DEONTRAEMILWAUKEE, WI 53202

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWASHINGTON WAUKESHA

PCA445

445

100076498

6416 W CAPITOL DR SUITE 200SOLOMON MEDICAL STAFFING AGENCY

MILWAUKEE

SOLOMON, BRANDY (414)935-2689

WADLINGTON, SHARONMILWAUKEE, WI 53216

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

PCA397

397

100067169

6110 N PORT WASHINGTON RD SUITE 3STRONG HOME CARE AND COMPANIONS

MILWAUKEE

STRONG, LESLEY(781)810-9584(414)212-8832

BELCHER, JERMAINEGLENDALE, WI 53217

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Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:DODGE JEFFERSON KENOSHA MILWAUKEEOZAUKEE RACINE WASHINGTON WAUKESHA

PCA366

366

100065483

3741 W NATIONAL AVE SUITE 101SUPERIOR CARE HOME HEALTH

MILWAUKEE

BENDER, BRANDY(414)324-0414(414)800-6627

SHELLEY, ANDREAMILWAUKEE, WI 53215

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WASHINGTONWAUKESHA

PCA250

250

100042529

6815 W CAPITOL DR SUITE 212SUPPORTIVE LIVING HOME HEALTH CARE

MILWAUKEE

ANDERSON, JENNIFER(414)755-7450(414)484-6037

RUSS, REBECCAMILWAUKEE, WI 53216

Main Office Counties Served:MILWAUKEE OZAUKEE RACINE WASHINGTONWAUKESHA

PCA189

189

100028490

5600 W BROWN DEER RD SUITE 103SUPPORTIVE PERSONAL CARE SERVICES

MILWAUKEE

STAPLES, WANDA(414)502-7093(414)365-9108

STAPLES, MARKBROWN DEER, WI 53223

Main Office Counties Served:MILWAUKEE OZAUKEE RACINE WASHINGTONWAUKESHA

PCA537

5377718 W BURLEIGH ST SUITE 101SUPREME HOME CARE

MILWAUKEE

SIMS, NICKISHA (414)748-6958

STEWART, MARTHANMILWAUKEE, WI 53222

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Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWAUKESHA

PCA495

495

100093616

342 N WATER ST SUITE 600SYLVIA DEVION HOME CARE AGENCY

MILWAUKEE

HARDMON, KAMEELAH(414)502-3480(414)323-6364

JONES, ZHANEEMILWAUKEE, WI 53202

Main Office Counties Served:KENOSHA MILWAUKEE RACINE SHEBOYGANWAUKESHA

PCA197

197

100029879

6114 W CAPITOL DR SUITE 305TENDER LOVING PERSONAL CARE

MILWAUKEE

PEARSON SUGGS, TIFFINNE(414)466-2273(414)466-5683

SMITH, CYNTHIAMILWAUKEE, WI 53216

Main Office Counties Served:DANE DODGE FOND DU LAC KENOSHAMILWAUKEE RACINE WASHINGTON WAUKESHA

PCA173

173

100026033

9305 W NATIONAL AVETENDERNESS HEALTH CARE

MILWAUKEE

FERNANDEZ, JULIO(414)238-2976(414)727-8806

ARAGON, DAVIDWEST ALLIS, WI 53227

Main Office Counties Served:MILWAUKEE OZAUKEE RACINE WASHINGTONWAUKESHA

Branches & Counties Served:TENDERNESS HEALTH CARE, 524 MAIN ST, RACINE, WI 53403, Phone: 262-456-3717

RACINE

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PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

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Region

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PCA162

162

100022770

8105 W LISBON AVETLC PERSONAL CARE AGENCY

MILWAUKEE

KHALIL, REHAM (414)212-8885

NELSON, JENNIFERMILWAUKEE, WI 53222

Main Office Counties Served:MILWAUKEE WAUKESHA

PCA534

534

100097059

1720 N COMMERCE ST #223TOPOLL PERSONAL CARE AGENCY

MILWAUKEE

ALEXANDER, JENTA(414)212-8442(414)759-1553

WAOH, BRENDAMILWAUKEE, WI 53212

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWAUKESHA

PCA546

5464340 N 29TH STTOTAL CARE FAMILY SERVICES

MILWAUKEE

LEFLORE, DOMINIQUE (414)213-1681

LEFLORE, LAWANDAMILWAUKEE, WI 53216

PCA211

211

100034442

4259 W FOND DU LAC AVETRI STAR HOME CARE

MILWAUKEE

THAO, MOUALEE (414)897-0050

THAO, XAOMILWAUKEE, WI 53216

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

PCA460

460

100078922

3500 N SHERMAN BLVD UNIT 302TRUE CARE

MILWAUKEE

DANCY, LAMIKA (414)522-3727

WEARY, JASMINEMILWAUKEE, WI 53216

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Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

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Region

Sub. Administrator

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WAUKESHA

PCA429

429

100073732

5960 W BROWN DEER SUITE L101UNLIMITED HOME CARE

MILWAUKEE

XIONG, MINA (414)446-8042

ROBERTS, APRILBROWN DEER, WI 53223

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEROCK SHEBOYGAN WAUKESHA

PCA374

374

100067163

9312 N 107TH ST SUITE B-108UTOPIA HOME HEALTH CARE

MILWAUKEE

LANDRY, MONICA(414)763-2694(414)763-1907

SMITH, CHARLENEMILWAUKEE, WI 53216

Main Office Counties Served:MILWAUKEE OZAUKEE RACINE WAUKESHA

PCA455

455

100077493

8201 W CAPITOL DR SUITE 140VISIONS OF HELPING HANDS

MILWAUKEE

MATTOX, BRITNEY(414)368-3472(414)979-1096

WILLIAMS, KIZZYMILWAUKEE, WI 53222

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

PCA448

448

100076055

6040 W LISBON AVE #102VISIONS OF HOPE SERVICES

MILWAUKEE

REYES, CAROLMUNICA(414)447-0455(414)447-0500

JONES CLAY, TAMEKAMILWAUKEE, WI 53210

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PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

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Main Office Counties Served:DANE MILWAUKEE OZAUKEE RACINEWASHINGTON WAUKESHA

PCA161

161

100022344

7635 W BLUEMOUND RD SUITE 1BVISITING ANGELS LIVING ASSISTANCE SERVICES

MILWAUKEE

DILLES, GEORGE(414)476-0347(414)476-0025

AGHAKHAN, NINEFMILWAUKEE, WI 53213

Main Office Counties Served:MILWAUKEE

PCA441

441

100075637

7607 W TOWNSEND ST SUITE 104WELLNESS PERSONAL CARE SERVICE

MILWAUKEE

MONROE, LENARD(414)219-1840(414)998-0410

MONROE, LENARDMILWAUKEE, WI 53222

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

PCA206

206

100034505

1661 N WATER ST SUITE 504XAVIER HOME HEALTHCARE

MILWAUKEE

YOUNG, JERMAINE (414)810-6438

SMITH, LATRISSEMILWAUKEE, WI 53202

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

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PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA375

375

100064609

6001 W CENTER ST UNIT 100ZEHS HOME HEALTH CARE

MILWAUKEE

SMITH, KAYLA(414)988-2318(414)431-8142

PIERSON, BREANNAMILWAUKEE, WI 53210

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WAUKESHA

PCA248

248

100042372

5739 DUAME RDSTAY AT HOMECARE

OCONTO

DEVILEY, LISA(920)834-3049(920)834-4049

GILBERT, TAMMYLENA, WI 54139

Main Office Counties Served:BROWN FOREST LANGLADE MARINETTEMENOMINEE OCONTO SHAWANO

Branches & Counties Served:STAY AT HOMECARE, W575 CASTLE DRIVE, SHERWOOD, WI 54169, Phone: 920-989-0157

BROWN CALUMET FOND DU LAC OUTAGAMIEWINNEBAGO

STAY AT HOMECARE, 813 5H AVE SUITE 1, ANTIGO, WI 54409, Phone: 715-350-4210

FOREST LANGLADE LINCOLN MARATHONONEIDA

PCA019

019

43109400

705 E TIMBER DRHUMAN SERVICE CENTER

ONEIDA

VON OEPEN, KELLY(715)369-2214(715)369-2215

RHINELANDER, WI 54501

Main Office Counties Served:FOREST ONEIDA VILAS

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Administrator

Region

Sub. Administrator

PCA234

234

100037993

1111 N LYNNDALE DR SUITE 102COMMUNITY CAREGIVERS

OUTAGAMIE

XIONG, LEE (920)830-2001

XIONG, ONGAPPLETON, WI 54914

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

PCA227

227

100037071

508 W WISCONSIN AVE SUITE BPASOUA HOME CARE

OUTAGAMIE

VUE, PA SOUA(800)909-8540(715)212-7703

LEE, SA SORAPPLETON, WI 54911

Main Office Counties Served:BROWN CALUMET FOND DU LAC MANITOWOCMARATHON OUTAGAMIE PORTAGE WINNEBAGOWOOD

PCA120

120

100011522

316 E 14TH STST PAUL AT HOME

OUTAGAMIE

SCHREITER, KERI(920)759-0534(920)766-6020

THAO YANG, M KERENKAUKAUNA, WI 54130

Main Office Counties Served:BROWN CALUMET OUTAGAMIE WINNEBAGO

PCA119

119

100011481

206 S MEMORIAL DRIVETONGXENG PERSONAL HOME CARE

OUTAGAMIE

THAO, MAIYOUA(920)734-1703(920)734-1702

THAO, CHUNGYIAAPPLETON, WI 54911

Main Office Counties Served:CALUMET FOND DU LAC GREEN LAKE OUTAGAMIEWINNEBAGO

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Branches & Counties Served:TONGXENG PERSONAL HOME CARE, 521 E WALNUT ST, GREEN BAY, WI 54301, Phone: 920-438-7330

BROWNTONGXENG PERSONAL HOME CARE, 1227D MENOMONIE ST, EAU CLAIRE, WI 54703, Phone: 715-514-4406

CHIPPEWA CLARK DUNN EAU CLAIRELA CROSSE PEPIN PIERCE SAINT CROIXTAYLOR TREMPEALEAU

TONGXENG PERSONAL HOME CARE, 1821 ROSECRANS ST SUITE B, WAUSAU, WI 54401, Phone: 715-298-9130

DANE LANGLADE LINCOLN MARATHONPORTAGE SHAWANO WAUPACA WOOD

TONGXENG PERSONAL HOME CARE, 1132 WILSON AVE, SHEBOYGAN, WI 53081, Phone: 920-783-6123

KENOSHA MANITOWOC MILWAUKEE OZAUKEERACINE SHEBOYGAN WASHINGTON WAUKESHA

PCA364

364

100062989

11431 N PORT WASHINGTON RD SUITE 290ABUNDANT LIVING CARE

OZAUKEE

BOHANON, KIONDRA(262)302-4306(262)834-6212

ALLAR, MELISSAMEQUON, WI 53092

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWASHINGTON WAUKESHA

PCA133

133

100017652

10033 N PORT WASHINGTON RD SUITE 275ADVANCED CARE

OZAUKEE

ZINGER, IRINA (262)236-9194

ZINGER, MICHAELMEQUON, WI 53092

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINESHEBOYGAN WASHINGTON WAUKESHA

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PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA493

493

100090244

11019 N TOWNE SQUARE RD SUITE 10FIRST CHOICE PERSONAL CARE SERVICES

OZAUKEE

WILDER, DANYALE (262)643-4382

JONES, SHAMEKKAMEQUON, WI 53092

Main Office Counties Served:MILWAUKEE OZAUKEE RACINE WASHINGTONWAUKESHA

PCA141

141

100015091

11051 N TOWNE SQUARE ROADMED GROUP HOME HEALTH CARE

OZAUKEE

SHIKHMAN, GENE(414)755-1763(414)755-2009

MUELLER, RENEEMEQUON, WI 53092

Main Office Counties Served:DANE KENOSHA MILWAUKEE OZAUKEERACINE SHEBOYGAN WASHINGTON WAUKESHA

PCA115

115

100010832

W10356 STATE ROAD 29HAVE A HEART

PIERCE

FIEDLER, CHELSEA(715)425-8950(715)425-7754

BOWEN, RACHELRIVER FALLS, WI 54022

Main Office Counties Served:DUNN PIERCE POLK SAINT CROIX

PCA036

036

43113000

3262 CHURCH ST SUITE 1MIDSTATE INDEPENDENT LIVING CHOICES

PORTAGE

KUJAWA, ZOE(715)344-4144(715)344-4210

STEVENS POINT, WI 54481

Main Office Counties Served:ADAMS FLORENCE FOREST LANGLADELINCOLN MARATHON ONEIDA PORTAGETAYLOR VILAS WOOD

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County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA426

426

100074930

407 HIGH STABANA HOME HEALTH CARE

RACINE

HARRIS, DENISE (262)676-9461

HARRIS, MARIERACINE, WI 53402

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WAUKESHA

PCA519

519

100094411

3801 MONARCH DR SUITE EAMANI PERSONAL CARE AGENCY

RACINE

MWINYI, CATHERINE(262)456-7689(262)456-7979

MAINA, EMILYRACINE, WI 53406

Main Office Counties Served:JEFFERSON KENOSHA MANITOWOC MILWAUKEERACINE WALWORTH WAUKESHA

PCA543

5431308 CARLISLE AVEANGELS OF LOVE

RACINE

GUTIERREZ, TARA (262)412-9052

ROCKETT, DINAHRACINE, WI 53404

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WAUKESHA

PCA254

254

103820077

2731 WASHINGTON AVEANS PERSONAL CARE SERVICES

RACINE

KRUTINA, CHERYL (414)481-9800

SEPULVEDA, ANGELICARACINE, WI 53405

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWALWORTH WAUKESHA WASHINGTON

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Department of Health ServicesDivision of Quality Assurance 03/09/2020

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County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA533

533

100097543

524 MONUMENT SQUARE SUITE 304BALANCE HOME CARE SERVICES

RACINE

MAMEDOVA, MIRANA(414)797-0743(262)770-3688

MAMEDOVA, MEHRIBANRACINE, WI 53403

Main Office Counties Served:KENOSHA MILWAUKEE RACINE ROCKWALWORTH

PCA504

504

100091372

829 S GREENBAY RD SUITE 110ELITE HOME HEALTH CARE

RACINE

WILCKENS, LISA(262)456-6100(262)221-1270

FLADHAMMER, CHRISTINAMOUNT PLEASANT, WI 53406

Main Office Counties Served:KENOSHA MILWAUKEE OZAUKEE RACINEWALWORTH WAUKESHA WAUPACA

PCA481

481

100086220

1122 GROVE AVEGOLDEN PATH SERVICES II

RACINE

KING, NICOSIA(262)260-8300(262)229-8020

WILLIS, TASHARACINE, WI 53405

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WASHINGTON

PCA427

427

100072529

1700 WEST LAWN AVEGRACEFUL HANDS

RACINE

JONES, MARSHA(262)770-3150(262)583-1660

JONES, GEORGERACINE, WI 53402

Main Office Counties Served:KENOSHA MILWAUKEE RACINE

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Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA233

233

100037194

6634 DURAND AVEHERITAGE HEALTH SERVICES

RACINE

JOHNSON, RACHEL (262)554-8800

SHEPPARD, RYANRACINE, WI 53406

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

PCA198

198

100030397

6011 DURAND AVE SUITE 300KEEP THEM HOME CARE

RACINE

WILLIAMS, RHONDA(262)456-7208(262)598-8140

KLITZKE, PAMELAMOUNT PLEASANT, WI 53406

Main Office Counties Served:KENOSHA MILWAUKEE RACINE WALWORTHWAUKESHA

PCA531

531245 MAIN ST SUITE 402SAMARITANS TOUCH

RACINE

ANDERSON, ROSLAND(414)434-2627(262)800-3555

ANDERSON, HENRYRACINE, WI 53403

Main Office Counties Served:KENOSHA RACINE

PCA039

039

43101300

5200 WASHINGTON AVE SUITE 225SOCIETYS ASSETS

RACINE

KOPP, KARL(262)637-8646(262)637-9128

RACINE, WI 53406

Main Office Counties Served:JEFFERSON KENOSHA MILWAUKEE RACINEROCK WALWORTH WAUKESHA

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Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA420

4202316 MINERAL POINT AVE SUITE 10ALL HEART HOME CARE

ROCK

HUTCHISON, JESSICA(608)352-7196(608)352-7700

SCHLOSSER, LORIJANESVILLE, WI 53548

Main Office Counties Served:GREEN ROCK WALWORTH WAUKESHA

PCA124

124

43114600

1621 PLAINFIELD AVESENIOR SERVICES PLUS HEALTH CARE

ROCK

CASTRO, TONYA(608)757-5948(608)373-3390

SOUS, FIDAJANESVILLE, WI 53545

Main Office Counties Served:ROCK

PCA299

299

100047578

513 PAMELA LANE LOWER LEVELFAMILY PATHWAYS

SAINT CROIX

BARSNESS, JODY(715)377-8229(715)303-3502

BARSNESS, CURTISHUDSON, WI 54016

Main Office Counties Served:DUNN PIERCE POLK SAINT CROIX

PCA105

105

100008390

1810 CREST VIEW DR SUITE 3APEACEFUL LIVING

SAINT CROIX

PREGL, IRENE(715)386-0873(715)386-7071

KANE, BECKIEHUDSON, WI 54016

Main Office Counties Served:BARRON DUNN PIERCE POLKSAINT CROIX

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Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA225

225

100038796

831 MICHIGAN AVEGEORGEBEE HOME HEALTHCARE

SHEBOYGAN

THAO, PHENG(920)783-6033(920)395-2025

YANG, REDASHEBOYGAN, WI 53081

Main Office Counties Served:BROWN FOND DU LAC MANITOWOC MILWAUKEEOUTAGAMIE SHEBOYGAN WINNEBAGO

PCA117

117

100016739

2108 KOHLER MEMORIAL DR SUITE 120HMONG PERSONAL HOME CARE

SHEBOYGAN

LEE, CHUE(920)208-2203(920)208-2200

LOR, KAYINGSHEBOYGAN, WI 53081

Main Office Counties Served:BROWN DANE FOND DU LAC MANITOWOCMILWAUKEE OUTAGAMIE SHEBOYGAN

Branches & Counties Served:HMONG PERSONAL HOME CARE, 4319 N 76TH ST SUITE 104, MILWAUKEE, WI 53222, Phone: 414-383-4616

MILWAUKEE

PCA130

130

43113400

933 ERIE AVE SUITE 9UNIVERSAL HOME HEALTH CARE

SHEBOYGAN

LEE, MO THAO(920)452-3380(920)452-3370

LEE, JOSHUASHEBOYGAN, WI 53081

Main Office Counties Served:BROWN CALUMET DANE FOND DU LACMANITOWOC MILWAUKEE OUTAGAMIE OZAUKEERACINE SHEBOYGAN WASHINGTON WAUKESHAWINNEBAGO

Branches & Counties Served:

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Sub. Administrator

UNIVERSAL HOME HEALTH CARE, 1105 GRAND AVE SUITE 4, SCHOFIELD, WI 54476, Phone: 715-298-9307

MARATHON PORTAGE WOOD

PCA513

513

100094004

818 ERIE AVEYANGLEE HOME CARE

SHEBOYGAN

YANG, SHENG(920)783-8180(920)783-8144

YANG, NOUSHEBOYGAN, WI 53081

Main Office Counties Served:BROWN CALUMET FOND DU LAC MANITOWOCMILWAUKEE OZAUKEE SHEBOYGAN WASHINGTONWINNEBAGO

PCA307

307

100078041

36347 MAIN STINTERNATIONAL QUALITY PCA SERVICES

TREMPEALEAU

MORDI, ADERONKE (507)252-8117

WOODS, ANGELAWHITEHALL, WI 54773

Main Office Counties Served:BUFFALO CHIPPEWA CLARK DUNNEAU CLAIRE JACKSON LA CROSSE MONROEPEPIN PIERCE SAINT CROIX TREMPEALEAUVERNON WOOD

Branches & Counties Served:INTERNATIONAL QUALITY PCA SERVICES, 2620 STEIN BLVD SUITE A, EAU CLAIRE, WI 54701, Phone: 888-278-3405

BARRON CHIPPEWA EAU CLAIRE POLKRUSK SAWYER TAYLOR WASHBURN

INTERNATIONAL QUALITY PCA SERVICES, 1210 W 4TH ST ROOM 101, NEILLSVILLE, WI 54456, Phone: 866-591-5073

CLARK FOND DU LAC MARATHON OUTAGAMIEPORTAGE WAUPACA WINNEBAGO WOOD

INTERNATIONAL QUALITY PCA SERVICES, 1501 ST ANDREW ST SUITE C200, LA CROSSE, WI 54603, Phone: 800-345-0669

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Sub. Administrator

ADAMS CRAWFORD JUNEAU LA CROSSEMARQUETTE RICHLAND SAUK VERNONWAUSHARA

PCA112

112

100012558

614 S ROCK AVEHELPING HANDS HOME SERVICES

VERNON

STOUT TEWALT, DEBRA(608)637-3811(608)637-6340

MARKERT, KRISTINEVIROQUA, WI 54665

Main Office Counties Served:CRAWFORD LA CROSSE MONROE RICHLANDVERNON

PCA031

031

43106000

330 COURT STVILAS COUNTY DEPT OF SOCIAL SERVICES

VILAS

GARDNER, KATHRYN(754)479-3728(715)479-3716

EAGLE RIVER, WI 54521

Main Office Counties Served:VILAS

PCA477

477

100084280

1932 WOODLAWN AVEA SIMPLE TOUCH

WASHINGTON

KAYE, PEGGY (877)338-2785

WEST BEND, WI 53090

Main Office Counties Served:DODGE FOND DU LAC MILWAUKEE OZAUKEESHEBOYGAN WASHINGTON WAUKESHA

PCA484

484

100088738

W175 N11163 STONEWOOD DR SUITE 290AT HOME PERSONAL CARE

WASHINGTON

XIONG, JONG(262)245-3502(262)245-3301

XIONG, BAOGERMANTOWN, WI 53022

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County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:DODGE FOND DU LAC MILWAUKEE OZAUKEERACINE WASHINGTON WAUKESHA

PCA503

503

100089512

W174 N10192 TENGLEWOOD DRCAROLS DAUGHTERS CARING HANDS

WASHINGTON

PRINCE, SANDRA(262)255-4853(262)255-4852

PRINCE, VIRGILGERMANTOWN, WI 53022

Main Office Counties Served:MILWAUKEE OZAUKEE WASHINGTON WAUKESHA

PCA180

180

100027491

W218 N17485 DELANEY COURTCOMFORCARE HOME CARE

WASHINGTON

MORBECK, DAVID(262)674-1517(262)674-1515

WIEDMEYER, MICHAELJACKSON, WI 53037

Main Office Counties Served:DODGE FOND DU LAC MILWAUKEE OZAUKEESHEBOYGAN WASHINGTON WAUKESHA

PCA244

244

100041840

341 E SUMNER STHOME CARE SOLUTIONS

WASHINGTON

PINTER, LEILA (262)670-6989

BOHANON, KIONDRAHARTFORD, WI 53027

Main Office Counties Served:DODGE MILWAUKEE OZAUKEE WASHINGTONWAUKESHA

PCA383

383

100078042

2395 W WASHINGTON ST SUITE 103INTERNATIONAL QUALITY PCA SERVICES WEST BEND

WASHINGTON

HOLTZ, RANDY(262)429-1400(866)677-0590

MCLAUGHLIN, VICTORIAWEST BEND, WI 53095

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PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:COLUMBIA DODGE FOND DU LAC JEFFERSONMILWAUKEE OZAUKEE RACINE ROCKSHEBOYGAN WALWORTH WASHINGTON WAUKESHA

PCA505

505

100091685

W175 N11117 STONEWOOD DR SUITE 211NEW CENTURY HOME CARE

WASHINGTON

RUSSELL, NIKKI (262)685-8568

NEAL, SILVERSTINEGERMANTOWN, WI 53022

Main Office Counties Served:MILWAUKEE OZAUKEE RACINE WASHINGTONWAUKESHA

PCA241

241

100040733

301 BARBIE DRIVETOGETHER AT HOME PERSONAL CARE AGENCY

WASHINGTON

HAMBLY, TRICIA(262)353-3845(262)353-9199

WORTHAM, LISAWEST BEND, WI 53090

Main Office Counties Served:DODGE FOND DU LAC MILWAUKEE OZAUKEESHEBOYGAN WASHINGTON WAUKESHA WINNEBAGO

PCA368

368

100069419

210 REGENCY COURT SUITE L103ASSISTING HANDS OF MENOMONEE FALLS

WAUKESHA

ELARIO, ROBIN(262)510-2047(262)721-1155

GRILL, RENAEBROOKFIELD, WI 53045

Main Office Counties Served:MILWAUKEE OZAUKEE WASHINGTON WAUKESHA

PCA449

449

100076054

S50 W30392 SEVILLE LANEDESTINATION HOME

WAUKESHA

BROWN, CHERYL (262)224-6754

MAHONEY, LAURIEMUKWONAGO, WI 53149

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Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

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Main Office Counties Served:DODGE JEFFERSON MILWAUKEE OZAUKEERACINE WASHINGTON WAUKESHA

PCA238

238

100039818

4788 N 126TH STHELENS SUPPORTIVE SERVICES

WAUKESHA

ROBINSON, TAKASHA(516)874-5982(414)462-3162

SMOTHERS, TALIKABUTLER, WI 53007

Main Office Counties Served:JEFFERSON KENOSHA MANITOWOC MILWAUKEEOZAUKEE RACINE SHEBOYGAN WALWORTHWASHINGTON

PCA422

422

100070961

3065 N 124TH ST SUITE 203LIVING INSIGHT SUPPORTIVE SERVICES

WAUKESHA

BLACK, SHEILA(262)794-3274(262)794-3374

BARRON, NICOLEBROOKFIELD, WI 53005

Main Office Counties Served:DANE FOND DU LAC KENOSHA MILWAUKEEOZAUKEE RACINE WAUKESHA

PCA393

393

100067073

5145 N 124TH STLIVING WELL HOME HEALTH CARE

WAUKESHA

SANDERS, ALLISON(262)923-7744(262)923-7741

SCHROEDER, ANGELBUTLER, WI 53007

Main Office Counties Served:DODGE FOND DU LAC JEFFERSON KENOSHAMANITOWOC MILWAUKEE OZAUKEE RACINEROCK SHEBOYGAN WALWORTH WASHINGTONWAUKESHA

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PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA386

386

100066046

3145 N 124TH ST SUITE 23LIVINGWELL HOME CARE BROOKFIELD

WAUKESHA

FORD LEWIS, YVETTE(262)373-0107(262)212-2612

LEWIS, JEFFREYBROOKFIELD, WI 53005

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

PCA406

406

100069896

200 S EXECUTIVE DRIVE #101MIDWEST EMINENCE CARE

WAUKESHA

AVERY, CRYSTAL(262)789-2750(262)789-2759

ROBINSON, TAKASHABROOKFIELD, WI 53005

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

PCA526

526

100095770

N19 W24400 RIVERWOOD DR SUITE 350NATIONAL CARE

WAUKESHA

REA, KEVIN (262)232-3847

WHATLEY GROSS, SABRINAWAUKESHA, WI 53188

Main Office Counties Served:MILWAUKEE OZAUKEE RACINE WASHINGTONWAUKESHA

PCA390

390

100066044

12714 W HAMPTON AVE SUITE ENEW LEAF HOME CARE

WAUKESHA

VUE, PANG(262)794-3628(262)505-6104

VUE, KORYBUTLER, WI 53007

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PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

Main Office Counties Served:DANE FOND DU LAC KENOSHA MANITOWOCMILWAUKEE OZAUKEE RACINE ROCKSHEBOYGAN WASHINGTON WAUKESHA

PCA536

536

100097544

200 S EXECUTIVE DRPARA PROFESSIONAL

WAUKESHA

PATTON, DIONNE(262)789-6699(262)789-2740

PATTON, AUNDRABROOKFIELD, WI 53005

Main Office Counties Served:MILWAUKEE WASHINGTON WAUKESHA

PCA400

400

100068004

139 E WISCONSIN AVESMART CHOICE PERSONAL CARE

WAUKESHA

SMART, MELISSA(262)560-0044(414)333-3984

PAPA, KATHLEENOCONOMOWOC, WI 53066

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

PCA440

440

100074934

3065 N 124TH ST SUITE 204BWE CARE PERSONAL CARE

WAUKESHA

BELIN, BRENIQUE(414)988-2500(262)794-3911

BARTLESON, BETTYBROOKFIELD, WI 53005

Main Office Counties Served:MILWAUKEE WAUKESHA

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Department of Health ServicesDivision of Quality Assurance 03/09/2020

PCAs & Branches Provider Directory with Branches, Counties & Services

County AccreditedParticipation Date

Administrator

Region

Sub. Administrator

PCA108

108

100009383

7 SOUTH MAIN STDEN SERVICES

WAUPACA

KRUEGER, JAYME(715)823-3399(715)823-3360

BROST, LINDACLINTONVILLE, WI 54929

Main Office Counties Served:BROWN MENOMINEE OCONTO OUTAGAMIEPORTAGE SHAWANO WAUPACA

PCA220

220

41526100

424 WASHINGTON AVECLARITY CARE HOME CARE AGENCY

WINNEBAGO

SALEMI, BARB(920)236-6572(920)236-6560

SCHLAG, HOLLYOSHKOSH, WI 54901

Main Office Counties Served:CALUMET DODGE FOND DU LAC GREEN LAKEOUTAGAMIE SHEBOYGAN WAUPACA WAUSHARAWINNEBAGO

Branches & Counties Served:CLARITY CARE HOME CARE, 2649 MANITOWOC ROAD, GREEN BAY, WI 54311, Phone: 920-469-5251

BROWN DOOR KEWAUNEE MANITOWOCMARINETTE MENOMINEE OCONTO OUTAGAMIESHAWANO SHEBOYGAN WINNEBAGO