B.A. ISRAEL LLC (NPI# 1811434301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811434301 |
| Entity Type | Organization |
| Organization Name | B.A. ISRAEL LLC |
| Other Organization Name | DARBOY ASSISTED LIVING |
| Practice Address |
N9520 Silver Court Appleton WI 54915 |
| Practice Telephone | 9208329290 |
| Practice Fax Number | 9208320327 |
| Mailing Telephone | 9208329290 |
| Mailing Fax Number | 9208320327 |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |
| Authorized Official Name | MR. BRIGHT AMUDOAGHAN (ADMINISTRATOR) |
| Authorized Official Telephone | 7734168534 |
| Authorized Official Credential | ADMINISTRATOR BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
6082668482 | WI | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Darboy Assisted Living | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BABY BOUTIQUE ISRAEL LLC | 11 Golar Drive, Monsey, Ny 10952 |
| New York State Corporations | BEITAR ISRAEL LLC | 240 Water Street, Brooklyn, Ny 11201 |
| Street Address |
N9520 SILVER COURT |
| City | APPLETON |
| State | WI |
| Zip Code | 54915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| 1134339500 | Fox River Periodontics Sc | Dentist | 2557b East Calumet St, Appleton, WI 54915 | 2007-05-23 |
| Find all providers in zip 54915 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447879614 | Nejia Mitchell | Assisted Living Facility | 4104 N 63rd St, Milwaukee, WI 53216-1241 | 2020-04-08 |
| 1972154789 | Mindstar Residential Community | Assisted Living Facility | 5901 W Brown Deer Rd Unit 109, Brown Deer, WI 53223-2338 | 2019-09-23 |
| 1780080473 | Burr Oak Manor, Inc. | Assisted Living Facility | 264 Walworth St, Genoa City, WI 53128-2147 | 2014-11-07 |
| 1043635923 | Divine Living Afh LLC | Assisted Living Facility | 7752 W Brentwood Ave, Milwaukee, WI 53223-6106 | 2014-02-28 |
| 1518304104 | Springbrook Community Assisted Living Inc | Assisted Living Facility | 861 Critter Ct, Onalaska, WI 54650-8689 | 2013-05-23 |
| 1366795957 | Cornerstone Adult Family Homes | Assisted Living Facility | N3445 Como Rd Stop 7, Lake Geneva, WI 53147-2658 | 2012-10-19 |
| 1720344237 | Familylivingllc | Assisted Living Facility | 9120 N 94th St, Milwaukee, WI 53224-1705 | 2012-04-09 |
| 1720375033 | Birch Haven Senior Living, Inc. | Assisted Living Facility | 218 22nd Ave W, Ashland, WI 54806-1021 | 2011-07-07 |
| 1194017194 | Angela Sueline Carroll | Assisted Living Facility | 6228 W Kaul Ave Apt 1, Milwaukee, WI 53218-1527 | 2011-05-09 |
| 1922327634 | Americanway of Madison LLC | Assisted Living Facility | 734 Mesta Ln, Madison, WI 53704-7843 | 2010-05-19 |
| 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.