AMERICANWAY OF MADISON LLC (NPI# 1922327634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922327634 |
| Entity Type | Organization |
| Organization Name | AMERICANWAY OF MADISON LLC |
| Practice Address |
734 Mesta Ln Madison WI 53704-7843 |
| Mailing Address |
602 E Albert St Suite 3 Portage WI 53901-1463 |
| Practice Telephone | 6082460409 |
| Practice Fax Number | 6082469020 |
| Mailing Telephone | 6085661500 |
| Mailing Fax Number | 6085661501 |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |
| Authorized Official Name | MS. JANIS DEETS NOWAK (PRESIDENT) |
| Authorized Official Telephone | 6085661500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
0012791 | WI | Nursing & Custodial Care Facilities |
| Street Address |
734 MESTA LN |
| City | MADISON |
| State | WI |
| Zip Code | 53704-7843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| 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 |
|---|---|---|---|---|
| 1992157465 | Angels With A Divine Purpose | Assisted Living Facility | 240 Se Stephens Ave, Madison, FL 32340-2656 | 2016-07-08 |
| 1477980548 | Rosa's Caring Heart | Assisted Living Facility | 587 Sw Bunker St, Madison, FL 32340-1907 | 2013-10-03 |
| 1780907261 | Milestone Senior Living LLC | Assisted Living Facility | 1574 W. Broadway, Madison, WI 53713 | 2010-03-11 |
| 1871926774 | Falo Hill | Assisted Living Facility | 458 Nw Marion St, Madison, FL 32340-1431 | 2013-08-14 |
| 1871816355 | Our House Senior Living | Assisted Living Facility | 1574 W. Broadway, Suite 200, Madison, WI 53713 | 2010-03-11 |
| 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 |
| 1306162706 | Country Grove Home LLC | Assisted Living Facility | N11151 17th Ave, Necedah, WI 54646-7619 | 2010-04-12 |
| 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.