LAYTON MEDICAL SUPPLIES, INC (NPI# 1306030762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306030762 |
| Entity Type | Organization |
| Organization Name | LAYTON MEDICAL SUPPLIES, INC |
| Practice Address |
5790 S 27th St Milwaukee WI 53221-4129 |
| Practice Telephone | 4142823634 |
| Mailing Telephone | 4142823634 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2008-11-05 |
| Authorized Official Name | MR. BORISLAV KRESOVIC (DESIGNATED DIRECTOR) |
| Authorized Official Telephone | 4142823634 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
004-0000158658-0 | WI | Suppliers |
| Y | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
004-0000158658-0 | WI | Suppliers |
| Street Address |
5790 S 27TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53221-4129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578612081 | Cameo Care Center Inc. | Skilled Nursing Facility | 5790 S 27th St, Milwaukee, WI 53221-4129 | 2007-01-10 |
| 1912565771 | Cameo Nursing Home, LLC | Clinic/Center | 5790 S 27th St, Milwaukee, WI 53221-4129 | 2019-06-05 |
| 1851865729 | Dominique Wozniak | Nurse Practitioner | 5790 S 27th St, Milwaukee, WI 53221-4129 | 2019-01-14 |
| 1083194716 | Tabatha Redlin | Physical Therapy Assistant | 5790 S 27th St, Milwaukee, WI 53221-4195 | 2018-08-21 |
| 1851893978 | Lyssa Bea Manares | Physical Therapist | 5790 S 27th St, Milwaukee, WI 53221-4129 | 2018-03-05 |
| 1568961118 | Cameo Assisted Living, LLC | Respite Care | 5790 S 27th St, Milwaukee, WI 53221-4129 | 2018-02-09 |
| 1932608577 | Cameo Nursing Home, LLC | Respite Care | 5790 S 27th St, Milwaukee, WI 53221-4129 | 2018-02-09 |
| 1447765342 | Monica Mae Escribano | Physical Therapy Assistant | 5790 S 27th St, Milwaukee, WI 53221-4129 | 2017-12-13 |
| 1356856736 | Katelynn Marie Wolfgram | Occupational Therapy Assistant | 5790 S 27th St, Milwaukee, WI 53221-4129 | 2017-12-07 |
| 1942735105 | Rebecca Laur | Physical Therapy Assistant | 5790 S 27th St, Milwaukee, WI 53221-4129 | 2017-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487205944 | Hayat Pharmacy 20 LLC | Pharmacy | 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 | 2019-09-26 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1407343965 | Informe Healthcare LLC | Counselor | 2741 W Layton Ave., Suite 106, Milwaukee, WI 53221 | 2018-04-19 |
| 1447781992 | Itamar Yaakov Gnatt | Emergency Medicine | 2900 W Oklahoma Ave, St Lukes Medical Center, Milwaukee, WI 53221 | 2017-03-27 |
| 1194277160 | Suzanne Derosier | Licensed Practical Nurse | 3910 W Bridge, Greenfield, WI 53221 | 2016-10-26 |
| 1265988117 | Obi Home Care | Clinic/Center | 4439 S 20th St, Milwaukee, WI 53221 | 2016-08-31 |
| 1427430602 | Zezenya Health Care S.c. | Pain Medicine | 5114 S 27th St # 763, Milwaukee, WI 53221 | 2015-06-24 |
| 1851771091 | Feisal J Salahadyn | Counselor | 4800 South 10th Street, Milwaukee, WI 53221 | 2015-06-03 |
| 1114312386 | Holistic Home Health Care Incorporated | Adult Companion | 3422 West Howard Ave, Greenfield, WI 53221 | 2015-04-03 |
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| Find all providers in zip 53221 | ||||
| Taxonomy Code | 332BN1400X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Nursing Facility Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215243332 | Direct Supply, Inc. | Durable Medical Equipment & Medical Supplies | 6767 N Industrial Rd, Milwaukee, WI 53223-5815 | 2010-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902134224 | Knutson | Durable Medical Equipment & Medical Supplies | N5272 Highway I, Saukville, WI 53080-1040 | 2009-11-24 |
| 1700010097 | Procare Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | S93w31636 Gena Dr, Mukwonago, WI 53149-8273 | 2009-05-14 |
| 1457517351 | Clearly Superior, Inc | Durable Medical Equipment & Medical Supplies | 6120 Tower Ave, Superior, WI 54880-5900 | 2008-07-31 |
| 1437356508 | Cdm Supply, LLC | Durable Medical Equipment & Medical Supplies | N50w13740 Overview Dr, Suite B, Menomonee Falls, WI 53051-7062 | 2007-07-01 |
| 1235110016 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 23926 4th Ave S, Siren, WI 54872-8334 | 2005-11-09 |
| 1528049301 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 10560 Applewood Dr, Sister Bay, WI 54234-9005 | 2005-11-09 |
| 1144229055 | County of Richland | Durable Medical Equipment & Medical Supplies | 25951 Circle View Dr, Richland Center, WI 53581-4013 | 2005-07-21 |
| 1932282555 | Simon Oshkosh Properties LLC | Durable Medical Equipment & Medical Supplies | 1850 Bowen St, Oshkosh, WI 54901-2356 | 2006-10-24 |
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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.