- Enrollment id
- O20080407000072
- Enrollment state
- WI
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1134255037
- Multiple npi flag
- N
- Ccn
- 527001
- Associate id
- 4688613193
- Organization name
- VISITING NURSE ASSOCIATION OF WISCONSIN, INC
- Doing business as name
- AURORA AT HOME
- Incorporation date
- 1907-06-07
- Incorporation state
- WI
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 11333W NATIONAL AVE
- City
- WEST ALLIS
- State
- WI
- Zip code
- 532273111
- Practice location type
- HHA BRANCH