PETRA'S LIVING ASSISTANCE, LLC (NPI# 1700335270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700335270 |
| Entity Type | Organization |
| Organization Name | PETRA'S LIVING ASSISTANCE, LLC |
| Other Organization Name | VISITING ANGELS |
| Practice Address |
347 Park Ave Pewaukee WI 53072-3413 |
| Practice Telephone | 2626954418 |
| Practice Fax Number | 2626957461 |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |
| Authorized Official Name | SCOTT STOLLENWERK (CEO) |
| Authorized Official Telephone | 2626954418 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Visiting Angels | Doing Business As Name - Organization |
| Street Address |
347 PARK AVE |
| City | PEWAUKEE |
| State | WI |
| Zip Code | 53072-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235167727 | Daniel Edmond Myers | Dentist | 347 Park Ave, Pewaukee, WI 53072-3413 | 2006-06-30 |
| 1710426028 | Living Assistance, Inc | Home Health | 347 Park Ave, Pewaukee, WI 53072-3413 | 2017-02-20 |
| 1922441195 | Medical Mobile Specialists S.c. | Psychologist | 347 Park Ave, Pewaukee, WI 53072-3413 | 2013-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740805423 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 209 Pewaukee Rd, Pewaukee, WI 53072 | 2020-06-09 |
| 1871122556 | Mary Kofigah | Nurse Practitioner | 21150 W. Capital Dr., Brookfield, WI 53072 | 2020-04-05 |
| 1609436559 | Brianna Kelly Bates | Optometrist | 1440 Capitol Drive, Suite B, Pewaukee, WI 53072 | 2019-06-13 |
| 1932767316 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1440 Capital Drive, Suite B, Pewaukee, WI 53072 | 2019-05-31 |
| 1417426925 | Edward Dow | Psychologist | W268n1988 Shooting Star Road, Pewaukee, WI 53072 | 2018-11-14 |
| 1346664869 | Jane Sweney | Counselor | 325 Forest Grove Drive, Pewaukee, WI 53072 | 2014-02-05 |
| 1093082182 | Kristin Elizabeth Thieneman | Pharmacist | 443 Pewaukee Road, Pewaukee, WI 53072 | 2011-11-17 |
| 1922318393 | Ariane Machin | Psychologist | 161 W. Wisconsin Ave #2b, Pewaukee, WI 53072 | 2010-10-19 |
| 1083930879 | Scott Robert Borkenhagen | Student in an Organized Health Care Education/Training Program | 384 Willow Grove Dr., Unit D, Pewaukee, WI 53072 | 2010-04-19 |
| 1912174988 | Robert Thomas Lynch | Dentist | 234 Oakton Ave, Pewaukee, WI 53072 | 2008-05-09 |
| Find all providers in zip 53072 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376810077 | Visiting Angels | In Home Supportive Care | 146 Park Ave, Pewaukee, WI 53072-3410 | 2011-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191346 | Beyond Care Services | In Home Supportive Care | 728 W Historic Mitchell St, Milwaukee, WI 53204-3528 | 2020-10-15 |
| 1013524966 | Esperanza Home Care, LLC | In Home Supportive Care | 4369 S Howell Ave Ste 304, Milwaukee, WI 53207-5055 | 2020-09-24 |
| 1639784366 | Kati Dobbs | In Home Supportive Care | 1226 Grove Ave, Racine, WI 53405-3043 | 2020-09-10 |
| 1134732027 | Louisa Frimpong | In Home Supportive Care | 6913 Waunakee Cir, Mequon, WI 53092-8520 | 2020-08-28 |
| 1235741018 | Caregiver Connections | In Home Supportive Care | 1525 Kenilworth Ct Apt 7, Stoughton, WI 53589-1996 | 2020-08-21 |
| 1275142689 | Para Professional LLC | In Home Supportive Care | 200 S. Executive Dr. Suite 101, Brookfield, WI 53005-4216 | 2020-07-31 |
| 1316556293 | Care Connection | In Home Supportive Care | 12007 W Burleigh St Apt 202, Wauwatosa, WI 53222-3121 | 2020-07-28 |
| 1265040711 | Diversity Home Health Services | In Home Supportive Care | 5757 W Oklahoma Ave Ste 200, Milwaukee, WI 53219-4303 | 2020-07-21 |
| 1992313696 | Prosper Home Health Care LLC | In Home Supportive Care | 1574 W Broadway Ste 200, Monona, WI 53713-1825 | 2020-07-19 |
| 1427666296 | Aagape Home Care | In Home Supportive Care | 420 W Clover Ln Unit B, Cottage Grove, WI 53527-9430 | 2020-07-17 |
| 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.