Provider Demographics
NPI:1144303181
Name:KOCHAS INTERIM HEALTHCARE INC
Entity type:Organization
Organization Name:KOCHAS INTERIM HEALTHCARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:ALESSANDRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-433-5650
Mailing Address - Street 1:327 N 17TH AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-4283
Mailing Address - Country:US
Mailing Address - Phone:715-842-7707
Mailing Address - Fax:715-842-9890
Practice Address - Street 1:327 N 17TH AVE STE 7
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-4283
Practice Address - Country:US
Practice Address - Phone:715-842-7707
Practice Address - Fax:715-842-9890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI277251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41529700Medicaid
WI41529700Medicaid