PRESTIGE ADULT DAY CARE CENTER LLC (NPI# 1174877591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174877591 |
| Entity Type | Organization |
| Organization Name | PRESTIGE ADULT DAY CARE CENTER LLC |
| Practice Address |
8048 N 76th St Milwaukee WI 53223-3202 |
| Mailing Address |
2924 W Roosevelt Dr Milwaukee WI 53216-1838 |
| Practice Telephone | 4143439616 |
| Mailing Telephone | 4143439616 |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |
| Authorized Official Name | MS. LAKISHA H KING (DIRECTOR) |
| Authorized Official Telephone | 4143439616 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
176207-30 | WI | Ambulatory Health Care Facilities |
| Street Address |
8048 N 76TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53223-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669876439 | Assured Care Adult Day Services, LLC | Assisted Living Facility | 8048 N 76th St, Milwaukee, WI 53223-3202 | 2014-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742206 | Jamie Brown | Home Health Aide | 8200 W. Clovernook Street, Milwaukee, WI 53223 | 2020-08-28 |
| 1730725656 | Lekecia Ferguson | Case Manager/Care Coordinator | 7970 W Glendbrook Rd, Milwaukee, WI 53223 | 2019-11-26 |
| 1457994717 | Talitha Cumi | Specialist | 6239 West Boehlke Avenue, Tiana M. Jenkins, Mlwaukee, WI 53223 | 2019-10-18 |
| 1235627498 | Letitia Dotson | Licensed Practical Nurse | 9395 N 49th St, Apt 201, Brown Deer, WI 53223 | 2018-04-24 |
| 1588176002 | Courtney Erin Tomaszewski | Occupational Therapy Assistant | 7300 W. Dean Rd, Milwaukee, WI 53223 | 2017-10-25 |
| 1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
| 1346671302 | Atlantic Home Health Care, Inc | Home Health | 5600 West Brown Deer Road, #216, Brown Deer, WI 53223 | 2013-12-02 |
| 1720415938 | Bell Therapy, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7229-7231 W. Brentwood Ave., Milwaukee, WI 53223 | 2013-10-02 |
| 1528405701 | Ground Support Logistics LLC | Driver | 8200 W Browndeer Rd, Milwaukee, WI 53223 | 2013-05-29 |
| 1801136288 | Nicole M. Rintelman | Registered Nurse | 4600 W. Schroeder Drive, Rogers Memorial Hospital, Brown Deer, WI 53223 | 2013-02-22 |
| Find all providers in zip 53223 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| 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 |
| 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 |
| 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 |
| 1891347852 | Tswv Chao Vang Center LLC | Clinic/Center | 11010 W Hampton Ave, Milwaukee, WI 53225-3821 | 2019-07-10 |
| 1972069003 | Angel Hearts Adult Care Center | Clinic/Center | 6661 W Mill Rd, Milwaukee, WI 53218-1238 | 2019-02-13 |
| 1437629979 | Guardian Angels Adult Day Services | Clinic/Center | 6816 W Brown Deer Rd, Milwaukee, WI 53223-2102 | 2018-11-27 |
| 1528568102 | New Hope Adult Community Center | Clinic/Center | 2433 W Roosevelt Dr, Milwaukee, WI 53209-6640 | 2018-02-20 |
| 1053822627 | K.t. Adult Day Center LLC | Clinic/Center | 3766 N 86th St, Milwaukee, WI 53222-2830 | 2017-10-23 |
| 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.