PREMIER MEDICAL STAFFING SERVICES, LLC (NPI# 1790180677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790180677 |
Entity Type | Organization |
Organization Name | PREMIER MEDICAL STAFFING SERVICES, LLC |
Practice Address |
10150 W National Ave Suite 150 Milwaukee WI 53227-2145 |
Practice Telephone | 4143954485 |
Mailing Telephone | 4143954485 |
Enumeration Date | 2014-11-04 |
Last Update Date | 2014-11-04 |
Authorized Official Name | JESS MCCANN (HEALTHCARE ACCOUNT MANAGER) |
Authorized Official Telephone | 4143954485 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 2014007209 | MO | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275885634 | Premier Medical Staffing Services, LLC | Nursing Care | 10150 W National Ave, Suite 150, Milwaukee, WI 53227-2145 | 2012-10-10 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | PREMIER MEDICAL STAFFING SERVICES, LLC | 10150 W National Ave Ste 150, Milwaukee, WI 53227-2145 |
Oklahoma Business Registrations | PREMIER MEDICAL STAFFING SERVICES, LLC | 2363 S 102nd St #202, Milwaukee, WI 53227 |
Street Address |
10150 W NATIONAL AVE SUITE 150 |
City | MILWAUKEE |
State | WI |
Zip Code | 53227-2145 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447786868 | Erica Mcpherson | Skilled Nursing Facility | 10150 W National Ave, Milwaukee, WI 53227-2145 | 2017-05-04 |
1023541976 | Mary Brown | Physical Therapist | 10150 W National Ave, Suite 150, Milwaukee, WI 53227-2145 | 2017-04-07 |
1679022438 | Mary Miller Krohn | Registered Nurse | 10150 W National Ave, Milwaukee, WI 53227-2145 | 2016-09-22 |
1265981013 | Gary J Kassel | Pharmacist | 10150 W National Ave, Suite 150, Milwaukee, WI 53227-2145 | 2016-09-21 |
1851846448 | Benjamin Dons | Physical Therapist | 10150 W National Ave, Suite 150, Milwaukee, WI 53227-2145 | 2016-08-24 |
1447600275 | Anna Retzke | Physical Therapist | 10150 W National Ave, Ste 150, Milwaukee, WI 53227-2145 | 2016-06-13 |
1598146060 | Lin Gardrel | Pharmacist | 10150 W National Ave, Suite 150, Milwaukee, WI 53227-2145 | 2015-06-10 |
1952780744 | Brittany Dawn Mcintosh | Physical Therapist | 10150 W National Ave, Milwaukee, WI 53227-2145 | 2015-05-26 |
1801287065 | Christperh Hodkiewicz | Physical Therapy Assistant | 10150 W National Ave, St 150, Milwaukee, WI 53227-2145 | 2015-02-10 |
1750786497 | Pamela Weiler | Physical Therapy Assistant | 10150 W National Ave, Suite 150, Milwaukee, WI 53227-2145 | 2014-10-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
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Taxonomy Code | 320700000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Physical Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639552946 | Patricia Robinson | Residential Treatment Facility, Physical Disabilities | 408 W Keefe Ave, Milwaukee, WI 53212-1462 | 2015-07-06 |
1528330198 | Heritage Staffing Consultants | Residential Treatment Facility, Physical Disabilities | 316 N Milwaukee St, Milwaukee, WI 53202-5885 | 2012-01-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518409465 | Star Dialysis LLC | Residential Treatment Facility, Physical Disabilities | 4145 Lake Meadow Dr, Racine, WI 53402-5321 | 2016-11-09 |
1679920649 | Tcby,llc | Residential Treatment Facility, Physical Disabilities | 528 Violet Ave, Hartford, WI 53027-1087 | 2016-05-19 |
1558715714 | Esh Enterprises LLC | Residential Treatment Facility, Physical Disabilities | 124 N Henry St, Edgerton, WI 53534-1868 | 2016-04-14 |
1942666763 | Oak Park Place of Baraboo, LLC | Residential Treatment Facility, Physical Disabilities | 800 Waldo St, Baraboo, WI 53913-2893 | 2016-01-08 |
1821493479 | Debra Ann Nelson | Residential Treatment Facility, Physical Disabilities | 2271 Pine Rd, Rudolph, WI 54475 | 2014-10-24 |
1356618672 | Bryant Homes, LLC. | Residential Treatment Facility, Physical Disabilities | 12501 W Needham Dr, New Berlin, WI 53151-1847 | 2011-12-01 |
1447559364 | Hyland Park Community | Residential Treatment Facility, Physical Disabilities | 5440 Caddis Bnd, Fitchburg, WI 53711-7105 | 2011-03-17 |
1124273479 | Independent Lifestyles, Inc. | Residential Treatment Facility, Physical Disabilities | 4405 S Deerwood Dr, New Berlin, WI 53151-9240 | 2008-11-28 |
1265601389 | Hunters Haven of Kenosha, LLC | Residential Treatment Facility, Physical Disabilities | 5500 41st St, Kenosha, WI 53144-1839 | 2008-02-22 |
1649420076 | Quality Therapy, LLC | Residential Treatment Facility, Physical Disabilities | 311 Reaume Ave, Kaukauna, WI 54130-2430 | 2008-09-22 |
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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.