LIFE CARE PERSONAL CARE AGENCY LLC (NPI# 1366088353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366088353 |
| Entity Type | Organization |
| Organization Name | LIFE CARE PERSONAL CARE AGENCY LLC |
| Practice Address |
7730 W National Ave West Allis WI 53214-4657 |
| Practice Telephone | 4144882011 |
| Practice Fax Number | 4144882014 |
| Mailing Telephone | 4144882011 |
| Mailing Fax Number | 4144882014 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | MS. MOENEEK CANNADAY (OPERATIONS MANAGER) |
| Authorized Official Telephone | 4144882011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
7730 W NATIONAL AVE |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53214-4657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740740208 | Melanie Figueroa | Counselor | West Milwaukee Ctc, 1610 Miller Park Way, West Milwaukee, WI 53214 | 2019-03-21 |
| 1619403011 | Lea Salome Denny | Counselor | 8626b W Greenfield Ave, Suite B300, West Allis, WI 53214 | 2017-05-04 |
| 1891148318 | West Allis Prescription Center Inc | Pharmacy | 6737 W Washington Ave, Suite 1100, West Allis, WI 53214 | 2016-07-20 |
| 1316390495 | Kristina Overlee | Nurse Practitioner | 6737 W. Washington Street, Suite 2150, West Allis, WI 53214 | 2016-07-13 |
| 1801239843 | Daniel Anthony Cichy | Pharmacist | 10101 W Greenfield Ave Ste 130, West Allis, WI 53214 | 2013-04-09 |
| 1295072544 | Wisconsin Vision, Inc. | Optometrist | 1220 Miller Park Way, West Milwaukee, WI 53214 | 2013-01-07 |
| 1831457720 | Kevin Konieczka | Physical Therapist | 1224 Miller Parkway, Milwaukee, WI 53214 | 2012-04-27 |
| 1497031843 | Jill Elizabeth Gerou | Registered Nurse | 8420 West Greenfield Ave, Apartment #7, West Allis, WI 53214 | 2011-10-31 |
| 1700176815 | Carolyn Hasek | Counselor | 1126 S 70th St Ste 112-113, West Allis, WI 53214 | 2011-04-10 |
| 1972802775 | Barbara Smith | Licensed Practical Nurse | 651 S 63 St, Apt1, Milwaukee, WI 53214 | 2011-03-18 |
| Find all providers in zip 53214 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578112108 | Avail Home Care LLC | Home Health | 7441 W Greenfield Ave Ste 12, West Allis, WI 53214-4676 | 2019-09-06 |
| 1326609520 | Susie Moore | Home Health | 9330 W Lincoln Ave Ste 20, West Allis, WI 53227-2300 | 2019-06-27 |
| 1063925048 | Dedrick Home Care Services LLC | Home Health | 7732 W National Ave, West Allis, WI 53214-4661 | 2017-11-13 |
| 1790194272 | Comprehensive Health Services, LLC | Home Health | 1623 S 75th St, #207, West Allis, WI 53214-4681 | 2014-08-08 |
| 1326479189 | Pinnacle Senior Care of Wisconsin, LLC | Home Health | 2514 S 102nd St Ste 160c, West Allis, WI 53227-2154 | 2013-12-04 |
| 1487995742 | Jk Consulting, LLC | Home Health | 11015 W. Oklahoma Avenue, 270555, West Allis, WI 53227-4106 | 2013-03-12 |
| 1821014218 | Professional Home Care Services Inc | Home Health | 10827 W Lincoln Ave, West Allis, WI 53227-1127 | 2006-07-15 |
| 1760510358 | Staff One, Ltd. | Home Health | 6737 W Washington St, Suite 2120, West Allis, WI 53214-5647 | 2007-03-02 |
| 1134255037 | Visiting Nurse Association of Wisconsin, Inc. | Home Health | 11333 W National Ave, West Allis, WI 53227-3111 | 2007-02-26 |
| 1588766877 | Family Nursecare of Of Wisconsin, LLC | Home Health | 2448 S 102nd St, Ste. 270, West Allis, WI 53227-2466 | 2006-09-05 |
| Find all providers in WEST ALLIS | ||||
| City | WEST ALLIS |
| Zip Code | 53214 |
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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.