HOME AWAY FROM HOME LIVING SERVICES LLC (NPI# 1730530239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730530239 |
| Entity Type | Organization |
| Organization Name | HOME AWAY FROM HOME LIVING SERVICES LLC |
| Practice Address |
8127 W Herbert Ave Milwaukee WI 53218-3632 |
| Mailing Address |
Po Box 76668 Milwaukee WI 53216-8268 |
| Practice Telephone | 4148814185 |
| Mailing Telephone | 4148814185 |
| Enumeration Date | 2016-06-26 |
| Last Update Date | 2016-06-26 |
| Authorized Official Name | LATOYA LACOLE CHRISTIAN (CEO) |
| Authorized Official Telephone | 4148814185 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
0015974 | WI | Ambulatory Health Care Facilities |
| Street Address |
8127 W HERBERT AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53218-3632 |
| 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 | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952611998 | Jon Gudeman Md LLC | Clinic/Center | 2808 N Shepard Ave, Milwaukee, WI 53211-3432 | 2010-10-08 |
| 1639310477 | Tree of Life Center | Clinic/Center | 234 W Florida St, Milwaukee, WI 53204-1659 | 2009-03-06 |
| 1336296722 | K. Kwang Soo, M.d., S.c. | Clinic/Center | 2691 N Lake Dr, Milwaukee, WI 53211-3838 | 2007-01-05 |
| 1235112020 | Catholic Charities of The Archdiocese of Milwaukee Inc | Clinic/Center | 7635 W Oklahoma Ave, #104, Milwaukee, WI 53219-3600 | 2005-11-25 |
| 1205473329 | Life Enhanced Counseling Services | Clinic/Center | 5330 W Villard Ave, Milwaukee, WI 53218-4345 | 2019-12-09 |
| 1700443744 | Deep Healing LLC | Clinic/Center | 1841 N Prospect Ave, Milwaukee, WI 53202-1933 | 2019-05-24 |
| 1124682174 | Milwaukee Psychiatry Sc | Clinic/Center | 827 N Cass St # 9, Milwaukee, WI 53202-3908 | 2019-04-25 |
| 1821561747 | Strive Counseling Milwaukee LLC | Clinic/Center | 3970 N Oakland Ave Ste 502, Milwaukee, WI 53211-2265 | 2019-01-03 |
| 1730600412 | Elle Studio & Wellness LLC | Clinic/Center | 106 W Seeboth St Ste 101, Milwaukee, WI 53204-4329 | 2017-07-03 |
| 1538689518 | Inner Compass Counseling, LLC | Clinic/Center | 827 N Cass St, Milwaukee, WI 53202-3908 | 2017-06-21 |
| 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.