LIVING PROOF FAMILY FACILITY II (NPI# 1063969020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063969020 |
| Entity Type | Organization |
| Organization Name | LIVING PROOF FAMILY FACILITY II |
| Practice Address |
6544 W Lawn Ave Milwaukee WI 53218-3019 |
| Practice Telephone | 8555735733 |
| Practice Fax Number | 8886756600 |
| Mailing Telephone | 8555735733 |
| Mailing Fax Number | 8886756600 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |
| Authorized Official Name | MS. KELLY M CAMPBELL (OWNER) |
| Authorized Official Telephone | 8555735733 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
6544 W LAWN AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53218-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124371703 | Latreeta Alice Burns | Marriage & Family Therapist | 6544 W Lawn Ave, Milwaukee, WI 53218-3019 | 2012-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571050 | Kaak Living | Clinic/Center | 5938 N 76th Street, Milwaukee, WI 53218 | 2020-05-29 |
| 1306495064 | Jeanette Bearden | Technician | 4477 N 57 St., Milwaukee, WI 53218 | 2019-09-05 |
| 1770074080 | Sunvale Homes LLC | Home Health | 4714 N 58th St, Milwaukee, WI 53218 | 2018-05-22 |
| 1447740006 | Quantum Care LLC | Home Health | 6424 W Fondulac Avenue, Unit 1, Milwaukee, WI 53218 | 2018-05-18 |
| 1811413008 | Ewura Asie Amonoo | Case Manager/Care Coordinator | 5153 W. Silver Spring, Milwaukee, WI 53218 | 2017-08-18 |
| 1649706714 | Life Tree Pharmacy LLC | Pharmacy | 8329-5 W Appleton Ave, Milwaukee, WI 53218 | 2017-05-10 |
| 1720524341 | Nastassia S Jackson | Counselor | 6830 W Villard Ave Ste 190, Milwaukee, WI 53218 | 2017-01-07 |
| 1801330493 | Mary Beth Cafaro | Social Worker | 5555 N. 51st Blvd, Milwaukee, WI 53218 | 2016-12-15 |
| 1669823613 | Lasonya Carol Wilson | Licensed Practical Nurse | 5830 N 75th St, Milwaukee, WI 53218 | 2016-06-30 |
| 1225302243 | Drew Douglas Cannon | Social Worker | 5555 N 51st Street, Milwaukee, WI 53218 | 2012-03-08 |
| Find all providers in zip 53218 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184236044 | Francine Carter | Assisted Living Facility | 4341 N 19th St, Milwaukee, WI 53209-6831 | 2020-08-20 |
| 1518584044 | C.a.r.e. Assisted Living Facility, LLC | Assisted Living Facility | 4528 W Keefe Ave, Milwaukee, WI 53216-3457 | 2020-06-30 |
| 1952925695 | Sky's The Limit Adult Family Home LLC | Assisted Living Facility | 4407 N 62nd St, Milwaukee, WI 53218-5545 | 2020-05-28 |
| 1265052609 | Charlotte Adams | Assisted Living Facility | 4051 N 69th St, Milwaukee, WI 53216-1120 | 2020-04-24 |
| 1205475043 | Sensational Paradise Assisted Living LLC | Assisted Living Facility | 4056 N 41st St, Milwaukee, WI 53216-1606 | 2019-12-26 |
| 1215575907 | Maryann Adult Family Home LLC | Assisted Living Facility | 3008 W Carmen Ave, Milwaukee, WI 53209-4235 | 2019-12-13 |
| 1518517630 | A Graceful Life, LLC | Assisted Living Facility | 3930 N 70th St, Milwaukee, WI 53216-2020 | 2019-09-19 |
| 1689232407 | Lakesha Bannister | Assisted Living Facility | 5802 N 80th St, Milwaukee, WI 53218-1717 | 2019-06-05 |
| 1659835858 | We Care Wisconsin Adult Care LLC | Assisted Living Facility | 3051 N 56th St, Milwaukee, WI 53210-1530 | 2019-01-22 |
| 1134697386 | Shemika Johnson | Assisted Living Facility | 4337 N 13th St, Milwaukee, WI 53209-6938 | 2018-11-06 |
| Find all providers in MILWAUKEE | ||||
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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.