MED GROUP ADULT DAY CARE OF WI (NPI# 1154750511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154750511 |
| Entity Type | Organization |
| Organization Name | MED GROUP ADULT DAY CARE OF WI |
| Practice Address |
6572 S Lovers Lane Rd Franklin WI 53132-1209 |
| Mailing Address |
11402 N Port Washington Rd Suite 215 Mequon WI 53092-3447 |
| Practice Telephone | 4147550558 |
| Practice Fax Number | 4147552470 |
| Mailing Telephone | 4147550558 |
| Mailing Fax Number | 4147551763 |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |
| Authorized Official Name | DARIKO MEKVABISHVILI (PRESIDENT) |
| Authorized Official Telephone | 4147550558 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
0014565 | WI | Ambulatory Health Care Facilities |
| Street Address |
6572 S LOVERS LANE RD |
| City | FRANKLIN |
| State | WI |
| Zip Code | 53132-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750306486 | Aurora Pharmacy Inc | Pharmacy | 6572 S Lovers Lane Rd, Franklin, WI 53132-1209 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568014405 | Michelle L. Lamers, D.d.s, L.L.C. | Dentist | 7111 S 76 Street, Franklin, WI 53132 | 2019-07-11 |
| 1649833765 | Lori A Mansur | Registered Nurse | 6580 S. 46th St., Franklin, WI 53132 | 2019-04-15 |
| 1619496296 | Emily Ninnemann | Occupational Therapist | 8940 S. 51st St, Franklin, WI 53132 | 2017-09-14 |
| 1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
| 1174980098 | Lisa Obrien | Registered Nurse | 3111 W Rawson Ave Ste 210, Franklin, WI 53132 | 2016-01-22 |
| 1528446713 | Jonathan Shih | Podiatrist | 9200 W Loomis Rd Ste 116, Franklin, WI 53132 | 2015-05-08 |
| 1275940769 | Tristan Krause | Nurse Practitioner | 4225 W. Oakwood Park Court, Franklin, WI 53132 | 2014-07-16 |
| 1922344613 | Vital Imaging, LLC | Clinic/Center | 10500 W. Loomis Rd., Ste 130, Franklin, WI 53132 | 2012-12-27 |
| 1013285311 | Jill Barth | Pharmacist | 7130 South 76th Street, Franklin, WI 53132 | 2011-12-01 |
| 1235417783 | Hilary Megan Mayne | Dentist | 6855 South 27th St, Franklin, WI 53132 | 2011-08-02 |
| Find all providers in zip 53132 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649420670 | Jan Zwarts Valley, LLC | Clinic/Center | 100 Beta Dr Unit A, Franklin, TN 37064-3912 | 2008-09-26 |
| 1962912790 | Active Day Oh, Inc | Clinic/Center | 333 Conover Dr, A, Franklin, OH 45005-1900 | 2017-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306463393 | L & L Anchorage Homes Adult Day Center, LLC | Clinic/Center | 6435 W Capitol Dr, Milwaukee, WI 53216-2140 | 2020-06-25 |
| 1790309649 | County of Portage | Clinic/Center | 1519 Water Street, Stevens Point, WI 54481 | 2020-06-05 |
| 1417571050 | Kaak Living | Clinic/Center | 5938 N 76th Street, Milwaukee, WI 53218 | 2020-05-29 |
| 1134768245 | Kajsiab Senior Center Inc | Clinic/Center | 8421 W Villard Ave, Milwaukee, WI 53225-3503 | 2020-01-06 |
| 1740829274 | Isthmus Express LLC | Clinic/Center | 555 Donofrio Dr Ste 85, Madison, WI 53719-2053 | 2020-01-01 |
| 1073154464 | Crawford County Opportunity Center, Inc | Clinic/Center | 730 N State St, Prairie Du Chien, WI 53821-1253 | 2019-10-07 |
| 1891346029 | Gay Elizabeth Hurlburt | Clinic/Center | 1227 E Prospect St, Durand, WI 54736-1514 | 2019-09-29 |
| 1336790682 | Mannas House Adult Daycare II, Inc | Clinic/Center | 1034 West Blvd, Racine, WI 53405-2502 | 2019-09-26 |
| 1396396701 | Karen Sumlin-gray | Clinic/Center | 9183 N 76th St, Milwaukee, WI 53223-1905 | 2019-09-26 |
| 1972153187 | Bethesda Community Senior Center Inc | Clinic/Center | 2845 W Fond Du Lac Ave, Milwaukee, WI 53210-2628 | 2019-09-19 |
| 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.