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STATE OF WISCONSIN DIVISION OF QUALITY ASSURANCE Department of Health Services .. Box 2969 Madison, WI 53701-2969 09/02/2021 DIRECTORY OF LICENSED WISCONSIN HOME HEALTH AGENCIES BY COUNTY SERVED

License and Certification Administrator Numbers Provider Name and Address and Phone Region

COUNTY SERVED: Eau Claire Lic. 310 AURORA COMMUNITY HEALTH WOLF, CANDACE WESTERN Cert. 527261 406 TECHNOLOGY DR , SUITE (715) 235-3707 Certified for MENOMONIE, WI 54751 FAX: (715) 235-2688 Medicaid Services Provided: HOME HEALTH AIDE NURSING CARE PERSONAL CARE WORKER

Lic. 1061 BLACK RIVER MEMORIAL HOMECARE WHITE JACOBS, MARY BETH Cert. 527298 311 COUNTY HIGHWAY A (715) 284-3662 Certified for BLACK RIVER FALLS, WI 54615 FAX: (715) 284-7166 Medicaid Services Provided: HOME HEALTH AIDE HOMEMAKER MEDICAL SOCIAL SERVICE NURSING CARE NUTRITIONAL GUIDANCE OCCUPATIONAL THERAPY PERSONAL CARE WORKER PHYSICAL THERAPY SPEECH THERAPY

Lic. 1108 DIMENSIONS HOME HEALTH CARE MANTELMAN, LORA SOUTHEASTERN 202 GREENLEAF ST SUITE (847) 360-7660

GURNEE, IL 60031 FAX: (847) 360-8411

Services Provided: HOME HEALTH AIDE MEDICAL SOCIAL SERVICE NURSING CARE OCCUPATIONAL THERAPY PHYSICAL THERAPY SPEECH THERAPY

Lic. 340 HIAWATHA HOMECARE KUHLMAN, KARI WESTERN 4920 MOUNDVIEW DR STE B (651) 388-2223 Certified for RED WING, MN 55066 FAX: (651) 388-2227 Medicaid Services Provided: HOME HEALTH AIDE HOMEMAKER NURSING CARE OCCUPATIONAL THERAPY PHYSICAL THERAPY SPEECH THERAPY

Lic. 1221 INTERNATIONAL QUALITY HOMECARE OF WISCONSIN LLC PIETRAS, RITA Cert. 527340 15614 WINDROSE LN, SUITE 300 (877) 854-1411

HAYWARD, WI 54843 FAX: (262) 429-1400

Services Provided: HOME HEALTH AIDE HOMEMAKER NURSING STATE OF WISCONSIN DIVISION OF QUALITY ASSURANCE Department of Health Services P.O. Box 2969 Madison, WI 53701-2969 09/02/2021 DIRECTORY OF LICENSED WISCONSIN HOME HEALTH AGENCIES BY COUNTY SERVED

License and Certification Administrator Numbers Provider Name and Address and Phone Region

COUNTY SERVED: Eau Claire Lic. 127 MAYO CLINIC HEALTH SYSTEM IN EAU CLAIRE PEISSIG, KASEY Cert. 527138 200 SPRING ST (715) 831-0100 Certified for EAU CLAIRE, WI 54703 FAX: (715) 831-0108 Medicaid Services Provided: DIETARY HOME HEALTH AIDE HOMEMAKER MEDICAL SOCIAL SERVICE NURSING CARE OCCUPATIONAL THERAPY PERSONAL CARE WORKER PHYSICAL THERAPY SPEECH THERAPY

Branch Location(s): MAYO CLINIC HEALTH SYSTEM- HOME HLTH AND HOSPICE Phone: (715) 926-5616 FAX: (715) 926-5716 12525 US HIGHWAY 10 OSSEO, WI 54758 MAYO CLINIC HEALTH SYSTEM IN EAU CLAIRE Phone: (715) 831-0100 FAX: (715) 464-3536 2403 STOUT RD MENOMONIE, WI 54751

Lic. 1060 MOORE GENUINE CARE MOORE, CHARLOTTE WESTERN Cert. 527297 711 ANDERSON ST LOWER LEVEL (715) 286-2734 Certified for AUGUSTA, WI 54722 FAX: (715) 286-2736 Medicaid Services Provided: HOME HEALTH AIDE HOMEMAKER MEDICAL SOCIAL SERVICE NURSING OCCUPATIONAL THERAPY PERSONAL CARE WORKER PHYSICAL THERAPY SPEECH THERAPY

Lic. 1210 RECOVER HEALTH OF WISCONSIN INC MCNEELY, DENISE Cert. 527334 4819 JEFFERS RD SUITE 201 (715) 598-5600 Certified for EAU CLAIRE, WI 54703 FAX: (608) 406-3141 Medicaid Services Provided: HOME HEALTH AIDE HOMEMAKER NURSING OCCUPATIONAL THERAPY PERSONAL CARE WORKER PHYSICAL THERAPY SPEECH THERAPY

Lic. 158 ST JOSEPHS HOSPITAL HHA LAUER, DEBBIE WESTERN Cert. 527165 2661 COUNTY HIGHWAY I (715) 726-3485 Certified for CHIPPEWA FALLS, WI 54729 FAX: (715) 717-7630 Medicaid Services Provided: HOME HEALTH AIDE MEDICAL SOCIAL SERVICE NURSING CARE NUTRITIONAL GUIDANCE OCCUPATIONAL THERAPY PHARMACEUTICAL PHYSICAL THERAPY SPEECH THERAPY