NORTH LAKES NURSING HOME HEALTH CARE AGENCY LLC (NPI# 1174017339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174017339 |
Entity Type | Organization |
Organization Name | NORTH LAKES NURSING HOME HEALTH CARE AGENCY LLC |
Other Organization Name | NORTH LAKES NURSING |
Practice Address |
225 E Fairmount Ave Milwaukee WI 53217 |
Mailing Address |
225 E Fairmount Ave Milwaukee WI 53217-5853 |
Practice Telephone | 4149679355 |
Enumeration Date | 2018-06-20 |
Last Update Date | 2018-06-22 |
Authorized Official Name | LISA WOLLER (OWNER/ADMINISTRATOR) |
Authorized Official Telephone | 2628253204 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251E00000X | Home Health | Agencies |
Other Name | Type Code |
---|---|
North Lakes Nursing | Doing Business As Name - Organization |
Street Address |
225 E FAIRMOUNT AVE |
City | MILWAUKEE |
State | WI |
Zip Code | 53217 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
1871713628 | Exodus Counseling Center, Inc. | Counselor | 5800 North Bayshore Drive, Suite B 204, Glendale, WI 53217 | 2007-04-26 |
Find all providers in zip 53217 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467068767 | Lashonda Nicole Simmons | Home Health | 24th Street, 1812 North, Milwaukee, WI 53205-1410 | 2020-09-22 |
1124634332 | Nehemiah House, LLC | Home Health | 3901 N 21st Street, Milwaukee, WI 53206 | 2020-09-22 |
1699389593 | Infinity Care Services LLC | Home Health | 9203 W Bluemound Rd Ste A, Milwaukee, WI 53226-4484 | 2020-09-08 |
1790396521 | Faithful Living Home Health Care Agency LLC | Home Health | 3846 W Wisconsin Ave Apt 110, Milwaukee, WI 53208-3175 | 2020-08-14 |
1770194847 | Faithful Hands PCa LLC | Home Health | 8008 W Capitol Dr, Milwaukee, WI 53222-1918 | 2020-08-12 |
1104436401 | Above and Beyond Home Health Care | Home Health | 4608 N 72nd St, Milwaukee, WI 53218-4856 | 2020-08-03 |
1780293001 | Cerys Healthcare LLC | Home Health | 3728 N Fratney St Ste 214, Milwaukee, WI 53212-1708 | 2020-07-23 |
1881217610 | Tender Care Home Away From Home LLC | Home Health | 8925 W Stark St, Milwaukee, WI 53225-4114 | 2020-05-27 |
1184247827 | Kathy Ann Maclin | Home Health | 5321 N Sherman Blvd, Milwaukee, WI 53209-4646 | 2020-05-27 |
1235751173 | Alliance Community Services LLC | Home Health | 7255 W Appleton Ave, Milwaukee, WI 53216-1982 | 2020-05-14 |
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.