ELITE SENIOR LIVING - MILWAUKEE, LLC (NPI# 1912107715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912107715 |
| Entity Type | Organization |
| Organization Name | ELITE SENIOR LIVING - MILWAUKEE, LLC |
| Other Organization Name | BEL AIR CARE CENTER |
| Practice Address |
9350 W Fond Du Lac Ave Milwaukee WI 53225-1714 |
| Practice Telephone | 8663509320 |
| Practice Fax Number | 8668430885 |
| Mailing Telephone | 8663509320 |
| Mailing Fax Number | 8668430885 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-11-07 |
| Authorized Official Name | MR. JONATHAN HERATY (MANAGING MEMBER) |
| Authorized Official Telephone | 8663509320 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| BEL AIR CARE CENTER | Doing Business As Name - Organization |
| Street Address |
9350 W FOND DU LAC AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53225-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023003860 | Bel Air Operating Company, LLC | Skilled Nursing Facility | 9350 W Fond Du Lac Ave, Milwaukee, WI 53225-1714 | 2005-09-19 |
| 1578036661 | Brian Lathrop | Occupational Therapist | 9350 W Fond Du Lac Ave, Milwaukee, WI 53225-1714 | 2019-01-10 |
| 1871000893 | Kathryn Laura Brinkman | Physical Therapy Assistant | 9350 W Fond Du Lac Ave, Milwaukee, WI 53225-1714 | 2017-12-29 |
| 1336673433 | Jamie Holeman | Occupational Therapy Assistant | 9350 W Fond Du Lac Ave, Milwaukee, WI 53225-1714 | 2017-04-14 |
| 1568996759 | Sean Ambrocio | Occupational Therapist | 9350 W Fond Du Lac Ave, Milwaukee, WI 53225-1714 | 2017-04-14 |
| 1104255884 | Elizabeth Schmidt | Physical Therapist | 9350 W Fond Du Lac Ave, Milwaukee, WI 53225-1714 | 2013-11-04 |
| 1467880849 | Rachel Garrett | Speech-Language Pathologist | 9350 W Fond Du Lac Ave, Milwaukee, WI 53225-1714 | 2013-10-23 |
| 1417395427 | Lauren Koegler | Occupational Therapist | 9350 W Fond Du Lac Ave, Milwaukee, WI 53225-1714 | 2013-06-12 |
| 1366794562 | Milwaukee Health Care, LLC | Skilled Nursing Facility | 9350 W Fond Du Lac Ave, Milwaukee, WI 53225-1714 | 2012-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194088682 | Waulonda Renee Williams | Registered Nurse | 5847 North 91st Street, Milwaukee, WI 53225 | 2012-06-19 |
| 1447519152 | Sandy Xiong | Licensed Practical Nurse | 5656 N 86th Place, Milwaukee, WI 53225 | 2012-05-15 |
| 1992939292 | Marzie Lee Satterwhite | Physical Therapy Assistant | 8534 W Mill Road, Milwaukee, WI 53225 | 2009-05-14 |
| 1538319157 | Katherine Monica Block | Speech-Language Pathologist | 5015 N. 106th St., Milwaukee, WI 53225 | 2008-09-19 |
| 1932329992 | Jennifer Marie Eggert | Speech-Language Pathologist | 9688 W Appleton Ave, Milwaukee, WI 53225 | 2007-05-01 |
| 1396830501 | Milwaukee Pain Treatment Services Sc | Anesthesiology | 5400 N 118th Court, Milwaukee, WI 53225 | 2006-10-04 |
| 1962518050 | Kenneth John Kowalski | Dentist | 4878 N Swan Road, Milwaukee, WI 53225 | 2006-08-22 |
| 1447290325 | Catherine Mae Jenkins | Registered Nurse | 5650 North 97th Street, Milwaukee, WI 53225 | 2006-06-07 |
| 1942249578 | David Irving Stein | Specialist | 5400 N 118tth Court, Milwaukee, WI 53225 | 2006-06-06 |
| 1720057482 | Herslof's, Inc | Optometrist | 12000 W Carmen Ave, Milwaukee, WI 53225 | 2006-03-15 |
| Find all providers in zip 53225 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780079046 | Rivershore Clinic | Skilled Nursing Facility | 3707 N. Richards St., Milwaukee Health Service, Milwaukee, WI 53212-1673 | 2015-04-03 |
| 1184943540 | Heavenly Touch Nursing | Skilled Nursing Facility | 5606 N 94th St, Milwaukee, WI 53225-2602 | 2010-05-25 |
| 1962731331 | Highland Heights | Skilled Nursing Facility | 2816 N 49th St, Milwaukee, WI 53210-1651 | 2009-12-15 |
| 1427385038 | Marys Adult Family Services LLC | Skilled Nursing Facility | 2802 N 40th St, Suite 210, Milwaukee, WI 53210-1806 | 2009-11-03 |
| 1649464645 | Independent Nurse | Skilled Nursing Facility | 1919 N 19th St, Milwaukee, WI 53205-1547 | 2007-09-02 |
| 1740482181 | Diane L Weidner | Skilled Nursing Facility | 190 W Allerton Ave, Milwaukee, WI 53207-4910 | 2007-06-05 |
| 1235355967 | Dominican Sisters Corp. St Ann Rest Home | Skilled Nursing Facility | 2020 S Muskego Ave, Milwaukee, WI 53204-3622 | 2007-04-18 |
| 1295866325 | Saint John's Communities, Inc. | Skilled Nursing Facility | 1840 N Prospect Ave, Milwaukee, WI 53202-1975 | 2007-03-08 |
| 1578612081 | Cameo Care Center Inc. | Skilled Nursing Facility | 5790 S 27th St, Milwaukee, WI 53221-4129 | 2007-01-10 |
| 1215092184 | Delphi Healthcare LLC | Skilled Nursing Facility | 2115 E Woodstock Pl, Milwaukee, WI 53202-1342 | 2006-12-22 |
| 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.