LIVING INSIGHT SUPPORTIVE SERVICES LLC (NPI# 1730699489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730699489 |
| Entity Type | Organization |
| Organization Name | LIVING INSIGHT SUPPORTIVE SERVICES LLC |
| Practice Address |
12201 W North Ave Ste 102b Wauwatosa WI 53226-2061 |
| Practice Telephone | 4142048033 |
| Practice Fax Number | 4142048086 |
| Mailing Telephone | 4142048033 |
| Mailing Fax Number | 4142048086 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |
| Authorized Official Name | SHELIA BLACK (ADMINISTRATOR) |
| Authorized Official Telephone | 2626890028 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 105058-30 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 10070961 | 05 | |
| WI | 100070961 | 05 |
| Street Address |
12201 W NORTH AVE STE 102B |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226-2061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| 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 |
|---|---|---|---|---|
| 1578188348 | Derek J Holmes | Home Health | 10111 W Capitol Dr Ste 8, Wauwatosa, WI 53222-1335 | 2020-06-08 |
| 1912538679 | Premier Personal Care Agency LLC | Home Health | 10520 W Bluemound Rd Ste 105, Suite #105, Wauwatosa, WI 53226-4484 | 2020-01-31 |
| 1346881455 | Blessit Hands Personal Care Agency | Home Health | 7332 W State St # 2, Wauwatosa, WI 53213-2766 | 2019-10-01 |
| 1023582897 | Devoted Personal Care, LLC | Home Health | 9730 W Bluemound Rd Ste 4, Wauwatosa, WI 53226-4463 | 2019-01-15 |
| 1306347158 | Profound Home Health Care | Home Health | 12201 W Burleigh St Ste 10, Wauwatosa, WI 53222-3102 | 2018-02-27 |
| 1801310800 | Divine Pathways | Home Health | 10111 W Capitol Dr Ste 4, Wauwatosa, WI 53222-1335 | 2017-08-01 |
| 1588190185 | Living Well Home Health Care | Home Health | 7251 W North Ave Ste 10, Wauwatosa, WI 53213-1851 | 2017-05-03 |
| 1528420247 | Compassionate Personal Care Services,llc | Home Health | 2645 N Mayfair Rd Ste 120, Wauwatosa, WI 53226-1304 | 2016-03-22 |
| 1861852618 | Legacy Home Healthcare LLC | Home Health | 6410 W North Ave, Wauwatosa, WI 53213-2015 | 2016-03-07 |
| 1912371360 | Vanguard Home Health Services LLC | Home Health | 1033 N Mayfair Rd Ste 300, Wauwatosa, WI 53226-3442 | 2015-11-23 |
| Find all providers in WAUWATOSA | ||||
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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.