ANGELA SUELINE CARROLL (NPI# 1194017194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194017194 |
| Entity Type | Individual |
| Full Name | ANGELA SUELINE CARROLL |
| Credential | R.N. |
| Practice Address |
6228 W Kaul Ave Apt 1 Milwaukee WI 53218-1527 |
| Practice Telephone | 2623444002 |
| Mailing Telephone | 2623444002 |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2011-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
155143-030 | WI | Nursing & Custodial Care Facilities |
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 155143-030 | WI | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881016178 | Angela Carroll | Speech-Language Pathologist | 2 Doe Tail Ct, Savannah, GA 31406-5139 | 2014-01-06 |
| 1891933594 | Angela Carroll | Social Worker | 1143 Fairway St Ste 3, Bowling Green, KY 42103-2452 | 2009-02-03 |
| 1306491683 | Angela R Carroll | Community/Behavioral Health | 1725 Upton St, Defiance, OH 43512-2551 | 2019-08-05 |
| 1437608825 | Angela Carroll | Counselor | 115 4th St S, Great Falls, MT 59401-3618 | 2016-09-26 |
| 1396055893 | Angela Carroll | Counselor | 715 N 1st Ave, Durant, OK 74701-3801 | 2010-10-18 |
| 1366753147 | Angela Y Carroll | Counselor | 1050 Ribaut Rd, Beaufort, SC 29902-5400 | 2010-06-28 |
| 1154440766 | Angela Carroll | Physical Therapy Assistant | 9119 Shadow Glen Way, Fort Myers, FL 33913-6602 | 2007-03-28 |
| 1184684490 | Angela Mae Carroll | Social Worker | 1165 Union St Ne, Suite 200, Salem, OR 97301-4693 | 2006-03-23 |
| Street Address |
6228 W KAUL AVE APT 1 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53218-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571050 | Kaak Living | Clinic/Center | 5938 N 76th Street, Milwaukee, WI 53218 | 2020-05-29 |
| 1306495064 | Jeanette Bearden | Technician | 4477 N 57 St., Milwaukee, WI 53218 | 2019-09-05 |
| 1770074080 | Sunvale Homes LLC | Home Health | 4714 N 58th St, Milwaukee, WI 53218 | 2018-05-22 |
| 1447740006 | Quantum Care LLC | Home Health | 6424 W Fondulac Avenue, Unit 1, Milwaukee, WI 53218 | 2018-05-18 |
| 1811413008 | Ewura Asie Amonoo | Case Manager/Care Coordinator | 5153 W. Silver Spring, Milwaukee, WI 53218 | 2017-08-18 |
| 1649706714 | Life Tree Pharmacy LLC | Pharmacy | 8329-5 W Appleton Ave, Milwaukee, WI 53218 | 2017-05-10 |
| 1720524341 | Nastassia S Jackson | Counselor | 6830 W Villard Ave Ste 190, Milwaukee, WI 53218 | 2017-01-07 |
| 1801330493 | Mary Beth Cafaro | Social Worker | 5555 N. 51st Blvd, Milwaukee, WI 53218 | 2016-12-15 |
| 1669823613 | Lasonya Carol Wilson | Licensed Practical Nurse | 5830 N 75th St, Milwaukee, WI 53218 | 2016-06-30 |
| 1225302243 | Drew Douglas Cannon | Social Worker | 5555 N 51st Street, Milwaukee, WI 53218 | 2012-03-08 |
| Find all providers in zip 53218 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659640662 | Debra Jean Schwenn | Nursing Facility/Intermediate Care Facility | 2446 South 102nd Street Suite 340, Mj Care, Milwaukee, WI 53227 | 2011-12-20 |
| 1144396300 | Alexian Village of Milwaukee | Nursing Facility/Intermediate Care Facility | 9255 N 76th St, Milwaukee, WI 53223-1058 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629504600 | North Oak Health Care, Inc. | Nursing Facility/Intermediate Care Facility | 1510 S 30th St, Manitowoc, WI 54220-5902 | 2017-05-11 |
| 1235685132 | Richard Hobin II | Nursing Facility/Intermediate Care Facility | 545 Hillcrest St, Viroqua, WI 54665-1750 | 2016-08-30 |
| 1154723955 | Amber Schmidt | Nursing Facility/Intermediate Care Facility | 113 Baehr St, Cecil, WI 54111-9204 | 2014-09-23 |
| 1184051047 | Amlang LLC | Nursing Facility/Intermediate Care Facility | 8303 Doe Glen Ct, Mount Pleasant, WI 53406-1756 | 2013-10-08 |
| 1427481480 | Madison College | Nursing Facility/Intermediate Care Facility | 1701 Wright St, Madison, WI 53704-2599 | 2013-08-14 |
| 1326310525 | Kate Droster | Nursing Facility/Intermediate Care Facility | 1227 Commonwealth Dr Apt 3, Fort Atkinson, WI 53538-3302 | 2012-02-02 |
| 1982999090 | Divine Healthcare Services | Nursing Facility/Intermediate Care Facility | 4238 W Hawthorne Trace Rd Apt 104, Brown Deer, WI 53209-1026 | 2011-06-16 |
| 1043501893 | Denise L Holterman | Nursing Facility/Intermediate Care Facility | 27334 Foxhaven Dr, Wind Lake, WI 53185-1978 | 2011-04-27 |
| 1083937759 | Va Health Care System (644) | Nursing Facility/Intermediate Care Facility | 911 Skyview Ave, Little Chute, WI 54140-2627 | 2010-03-09 |
| 1861661308 | Cedar Springs Health & Rehadilitation Center | Nursing Facility/Intermediate Care Facility | 961 Lamplighter Ln, Grafton, WI 53024-9314 | 2008-02-28 |
| 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.