A NURTURING HOME AWAY FROM HOME INC. (NPI# 1083077713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083077713 |
| Entity Type | Organization |
| Organization Name | A NURTURING HOME AWAY FROM HOME INC. |
| Practice Address |
8225 N 107th St Milwaukee WI 53224-2517 |
| Mailing Address |
8225 N 107th Milwaukee WI 53224-5008 |
| Practice Telephone | 4148702207 |
| Mailing Telephone | 4148702207 |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |
| Authorized Official Name | MARY A MITCHELL (CEO) |
| Authorized Official Telephone | 4148702207 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities |
| Street Address |
8225 N 107TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53224-2517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124665336 | Ltc Pharmacy Services, LLC | Pharmacy | 11739 W Bradley Rd, Milwaukee, WI 53224 | 2019-12-06 |
| 1811494628 | Udoyen Health LLC | Psychiatry & Neurology | 1414 W Park Pl, Suite 202, Milwaukee, WI 53224 | 2018-04-09 |
| 1003198292 | Attentacare Residential Living LLC | In Home Supportive Care | 8225b North 107th Street, Milwaukee, WI 53224 | 2011-09-13 |
| 1366744278 | Sunday Kerobo | Registered Nurse | 9809 W Fountain Ave, Milwaukee, WI 53224 | 2010-11-29 |
| 1558677237 | Valorie J Roberts | Registered Nurse | 10282 W Fountain Ave Apt #1301, Milwaukee, WI 53224 | 2010-08-19 |
| 1699092999 | United Extended Home Healthcare Services | Home Health | 6455 N. Fresno Streeet, Milwaukee, WI 53224 | 2010-04-26 |
| 1063742096 | Contina Monique Williams | Licensed Practical Nurse | 3949 N 70th St, Milwaukee, WI 53224 | 2010-01-14 |
| 1316171234 | Laura Ann Stern | Registered Nurse | 7005 N102nd St, Milwaukee, WI 53224 | 2009-05-06 |
| 1124276977 | Mary Deloris Wilder | Registered Nurse | 9851 W. Dean Rd, Milwaukee, WI 53224 | 2008-09-05 |
| 1346413515 | Alex B Goldman | Counselor | 11414 W Park Place Suite 202, Milwaukee, WI 53224 | 2008-04-09 |
| Find all providers in zip 53224 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747518 | Rasha Iman Moore | Assisted Living Facility | 6112 N 37th St, Milwaukee, WI 53209-3611 | 2020-10-11 |
| 1407037856 | Abundant Life Ministry | Assisted Living Facility | 1904 E Belleview Pl, Milwaukee, WI 53211-3901 | 2007-11-14 |
| 1568438265 | M.a.t.c.h. | Assisted Living Facility | 2902 N 1st St, Milwaukee, WI 53212-2406 | 2006-02-23 |
| 1386149052 | Ans Creative Behavioral Services II | Assisted Living Facility | 1551 S 108th St, Milwaukee, WI 53214-4020 | 2018-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421308 | Limitless Possibilities LLC | Assisted Living Facility | 302 S Bluemound Dr, Appleton, WI 54914-3922 | 2020-06-11 |
| 1700164233 | Birch Haven Senior Living, Inc. | Assisted Living Facility | 1019 15th Ave W, Ashland, WI 54806-2772 | 2011-08-02 |
| 1558668905 | Willow Winds Living, LLC | Assisted Living Facility | N372 Twinkling Star Rd, Whitewater, WI 53190-2827 | 2011-02-22 |
| 1154567014 | Beyond Abilities LLC | Assisted Living Facility | 2839 E Frontage Rd, Abrams, WI 54101-9591 | 2008-12-24 |
| 1386192524 | Trinity Health Management | Assisted Living Facility | 5555 Burke Rd, Madison, WI 53718-6301 | 2016-09-16 |
| 1497119564 | Ans Creative Behavioral Solutions, LLC | Assisted Living Facility | 1551 S 108th St, West Allis, WI 53214-4020 | 2016-04-05 |
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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.