BEST LIFE RESIDENTIAL (NPI# 1265085740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265085740 |
| Entity Type | Organization |
| Organization Name | BEST LIFE RESIDENTIAL |
| Practice Address |
4709 Ferris Ave Madison WI 53716-1413 |
| Practice Telephone | 6082281238 |
| Mailing Telephone | 6082281238 |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |
| Authorized Official Name | TIMOTHY HINZE (PRESIDENT) |
| Authorized Official Telephone | 6082281238 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
4709 FERRIS AVE |
| City | MADISON |
| State | WI |
| Zip Code | 53716-1413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738873 | Richard Onyait | Technician | 1103 Birch Haven Cir, Monona, WI 53716 | 2019-09-11 |
| 1962950428 | Paige Corliss | Pharmacist | 1821 S. Stoughton Road, Madison, WI 53716 | 2016-09-13 |
| 1760840946 | Stacey Palermo | Marriage & Family Therapist | 303 Frost Woods Rd, Monona, WI 53716 | 2016-02-03 |
| 1326414442 | Diane Marie Kelley | Nurse Practitioner | 300 Femrite Drive, Monona, WI 53716 | 2015-08-12 |
| 1942692520 | Kelsey Lynn Markham | Counselor | 5900 Monona Drive, Suite 100, Monona, WI 53716 | 2015-02-19 |
| 1225452733 | Nicole Moscinski | Marriage & Family Therapist | 6117 Monona Dr Ste 1b, Monona, WI 53716 | 2014-02-05 |
| 1013345644 | Emma Amanda Rose | Physician Assistant | 521 Bowman Ave., Madison, WI 53716 | 2013-10-16 |
| 1407154271 | Jennifer Orshak | Registered Nurse | 5410 Forge Drive, Madison, WI 53716 | 2011-03-03 |
| 1982906525 | Jennifer Chun | Dentist | 100 River Pl Ste 110, Monona, WI 53716 | 2010-12-02 |
| 1609041987 | Jennifer A Britain | Physical Therapist | 1821 South Stoughton Rd, Madison, WI 53716 | 2008-04-28 |
| Find all providers in zip 53716 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942254 | Christopher Adkins | Technician | 10 Avenue C Ste 109, Madison, WV 25130-1102 | 2020-11-06 |
| 1023619301 | Kaleigh Ellis | Technician | 301 Rucker St, Madison, WV 25130-1125 | 2020-11-04 |
| 1831797216 | Stacie Walls | Technician | 1 Avenue C Ste 109, Madison, WV 25130-1100 | 2020-10-16 |
| 1447857859 | Patrice Scott | Technician | 6134 Clay St, Madison, OH 44057-9416 | 2020-10-08 |
| 1639780661 | Crystal Renay Green | Technician | 99 Croft Ln, Madison, WV 25130-8501 | 2020-08-13 |
| 1235740341 | Shannon Davis | Technician | 330 Wilson St, Madison, WV 25130-1368 | 2020-08-12 |
| 1114536521 | Debra Lynn Kuhn | Technician | 1 Avenue C Ste 102, Madison, WV 25130-1100 | 2020-07-31 |
| 1457960957 | Sadie Vance | Technician | 1 Ave C, Madison, WV 25130 | 2020-07-30 |
| 1164031647 | Krista Hall | Technician | 828 Lee Ave, Madison, WV 25130-1505 | 2020-07-30 |
| 1912516444 | Harold Joe Mcneely | Technician | 1 Avenue C Bldg Suite109, Madison, WV 25130-1100 | 2020-07-30 |
| Find all providers in MADISON | ||||
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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.