WELLNESS PERSONAL CARE SERVICE LLC.


Address: 3500 S 92nd St Ste 3e, Milwaukee, WI 53228-1586
Phone: 4147599546

WELLNESS PERSONAL CARE SERVICE LLC. (NPI# 1396244224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396244224
Entity Type Organization
Organization Name WELLNESS PERSONAL CARE SERVICE LLC.
Practice Address 3500 S 92nd St Ste 3e
Milwaukee
WI 53228-1586
Practice Telephone 4147599546
Mailing Telephone 4147599546
Enumeration Date 2018-02-06
Last Update Date 2018-02-06
Authorized Official Name LENARD ROOSEVELT MONROE (ADMINISTRATOR)
Authorized Official Telephone 4147599546
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health WI Agencies

Office Location

Street Address 3500 S 92ND ST STE 3E
City MILWAUKEE
State WI
Zip Code 53228-1586

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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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]

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Competitor

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City MILWAUKEE
Zip Code 53228

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Dataset Information

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.

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