MIDWEST EMINENCE CARE, LLC (NPI# 1063938264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063938264 |
| Entity Type | Organization |
| Organization Name | MIDWEST EMINENCE CARE, LLC |
| Other Organization Name | MIDWEST EMINENCE CARE |
| Practice Address |
200 S Executive Dr Ste 101 Brookfield WI 53005-4216 |
| Mailing Address |
200 S. Executive Drive Suite 101 Brookfield WI 53005 |
| Practice Telephone | (262) 789-2759 |
| Mailing Telephone | 2627892759 |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2017-08-18 |
| Authorized Official Name | MS. CRYSTAL AVERY (ADMINISTRATOR) |
| Authorized Official Telephone | 2627892759 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
WI | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100069896 | 05 |
| Other Name | Type Code |
|---|---|
| Midwest Eminence Care | Doing Business As Name - Organization |
| Street Address |
200 S EXECUTIVE DR STE 101 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952487118 | Murphy R Dupler | Dentist | 200 S Executive Dr Ste 101, Brookfield, WI 53005-4216 | 2006-10-31 |
| 1902456569 | Neuropsychological Services of Southeastern Wisconsin,ltd | Clinical Neuropsychologist | 200 S Executive Dr Ste 101, Brookfield, WI 53005-4216 | 2019-09-16 |
| 1699252627 | Angela Novine | Marriage & Family Therapist | 200 S Executive Dr Ste 101, Brookfield, WI 53005-4216 | 2018-07-23 |
| 1952800823 | Rebekah Marvel | Counselor | 200 S Executive Dr Ste 101, Brookfield, WI 53005-4216 | 2018-02-06 |
| 1225546542 | Karla Chapman | Dental Hygienist | 200 S Executive Dr Ste 101, Brookfield, WI 53005-4216 | 2018-01-22 |
| 1952590473 | Healthdrive Audiology Group, PC | Audiologist | 200 S Executive Dr Ste 101, Brookfield, WI 53005-4216 | 2007-10-22 |
| 1114098704 | Pamela J Mcmurray | Clinical Neuropsychologist | 200 S Executive Dr Ste 101, Brookfield, WI 53005 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291417 | Malaysia Shanae Allen | Technician | 1916 Western Ave, Manitowoc, WI 54220-3838 | 2020-10-06 |
| 1952917585 | Neeny Holdings, Inc. | Technician | 109 Prairie Grass Rd, Oregon, WI 53575-3948 | 2020-09-18 |
| 1669002200 | Cheryl Brown | Technician | S50w30392 Seville Ln, Mukwonago, WI 53149-8732 | 2020-01-23 |
| 1265085740 | Best Life Residential | Technician | 4709 Ferris Ave, Madison, WI 53716-1413 | 2019-07-23 |
| 1497315204 | Ravn Williams | Technician | 3532 E Tesch Ave, St Francis, WI 53235-4863 | 2019-06-14 |
| 1780170852 | Patricia Howard | Technician | 2941 Fish Hatchery Rd Apt 209, Fitchburg, WI 53713-3147 | 2018-07-02 |
| 1245749050 | Zehs Home Health Care LLC | Technician | 6001 W Center St Ste 208, Milwaukee, WI 53210-2154 | 2017-09-25 |
| 1245764588 | Pang Vue | Technician | 12714 W Hampton Ave, Ste E, Butler, WI 53007-1640 | 2017-04-13 |
| 1568996049 | Tammie Lynn Du Pree | Technician | 1349 N 37th Pl, Milwaukee, WI 53208-2835 | 2017-04-12 |
| 1184174419 | Cecile Gambrell | Technician | 309 Joellen Dr, Waukesha, WI 53188-4977 | 2016-10-11 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
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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.