NORTH LAKES NURSING HOME HEALTH CARE AGENCY LLC


Address: 225 E Fairmount Ave, Milwaukee, WI 53217
Phone: 4149679355

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Other Provider/Organization Names

Other Name Type Code
North Lakes Nursing Doing Business As Name - Organization

Office Location

Street Address 225 E FAIRMOUNT AVE
City MILWAUKEE
State WI
Zip Code 53217

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NPI Name Taxonomy Address Enumeration
1922632587 Jasmine Dockery Pharmacist 5400 N Port Washington, Glendale, WI 53217 2020-02-23
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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
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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City MILWAUKEE
Zip Code 53217

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Dataset Information

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.

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