S&S HOUSE OF HOPE, LLC (NPI# 1043869316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043869316 |
Entity Type | Organization |
Organization Name | S&S HOUSE OF HOPE, LLC |
Practice Address |
1664 Terry Dale Dr West Bend WI 53090-8934 |
Mailing Address |
5310 N 46th St Milwaukee WI 53218-3423 |
Practice Telephone | 2623539256 |
Mailing Telephone | 4144915891 |
Enumeration Date | 2019-09-09 |
Last Update Date | 2019-09-09 |
Authorized Official Name | SHANIECE ROBINSON (OWNER) |
Authorized Official Telephone | 4144915891 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | WISCONSIN DEPARTMENT OF HEALTH SERVICES DQA | 00117629 | 01 |
Street Address |
1664 TERRY DALE DR |
City | WEST BEND |
State | WI |
Zip Code | 53090-8934 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891286043 | Rebekah Lynn Wolff | Counselor | 400 W River Road, West Bend, WI 53090 | 2018-05-23 |
1558746990 | Kristi Sheffield | Specialist/Technologist | 3235 Dubin Circle, West Bend, WI 53090 | 2015-07-28 |
1508110420 | Vicky Ellen Patten | Occupational Therapy Assistant | 2124 Northwestern Avenue, West Bend, WI 53090 | 2012-10-30 |
1801142732 | Andrew Russell Bordeaux | Speech-Language Pathologist | 1624 Barton Ave, West Bend, WI 53090 | 2012-07-30 |
1104150549 | Mary Davis | Registered Nurse | 6660 Eastwood Court, West Bend, WI 53090 | 2009-10-01 |
1457492282 | Barton Dental Clinic Sc | Dentist | 1542 Barton Ave, West Bend, WI 53090 | 2007-02-12 |
1821136037 | Lisa A Tieglman Koepp | Counselor | 1615 Barton Avenue, Northshore Clinic & Consultants Inc, West Bend, WI 53090 | 2007-02-01 |
1184760894 | Christopher Allan Buck | Dentist | 1713 N Main Street, West Bend, WI 53090 | 2007-01-29 |
1669556601 | Michelle Lee Mccormack | Chiropractor | 519 Shepherds Drive, West Bend, WI 53090 | 2006-10-25 |
1831298215 | Sara E Rehring | Social Worker | 400 W River Drive, West Bend, WI 53090 | 2006-09-21 |
Find all providers in zip 53090 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245722347 | Arither Hannah Chingota-griffano | Custodial Care Facility | 813 Fairview Dr, West Bend, WI 53090-1503 | 2018-06-04 |
1306095377 | Biskobing Enterprises, Inc. | Custodial Care Facility | 1205 Firethorn Dr, West Bend, WI 53090-5443 | 2008-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912517475 | Estefania L Ocampo | Custodial Care Facility | 1512 S Union St, Milwaukee, WI 53204-2646 | 2020-08-08 |
1295353688 | Purposeful Living, LLC | Custodial Care Facility | 3928 W Galena St, Milwaukee, WI 53208-2340 | 2020-07-11 |
1750915575 | County of La Crosse | Custodial Care Facility | 856 Garland St E, West Salem, WI 54669 | 2020-03-02 |
1649814526 | Hadassah Care Homes Inc. | Custodial Care Facility | 4822 N 47th St, Milwaukee, WI 53218-4414 | 2019-11-04 |
1508415894 | Our Home Sweet Home LLC | Custodial Care Facility | 4101 N Montreal St, Milwaukee, WI 53216-1740 | 2019-09-09 |
1912553363 | Lisa Bender | Custodial Care Facility | 3335 N 50th St, Milwaukee, WI 53216-3213 | 2019-08-12 |
1417512260 | Open With Arms, LLC | Custodial Care Facility | 3906 N Vel R Phillips Ave, Milwaukee, WI 53212-1114 | 2019-05-07 |
1013480094 | Warming Hands Residential Service, LLC | Custodial Care Facility | 575 Schiller St, Sun Prairie, WI 53590-2072 | 2019-01-02 |
1427533033 | Hughes N Hughes | Custodial Care Facility | 3700 N 60th St, Milwaukee, WI 53216-2131 | 2018-09-28 |
1043701634 | Nelson Home Health Care LLC | Custodial Care Facility | 7303 W Crawford Ave, Milwaukee, WI 53220-1729 | 2018-05-20 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.