ASSISTED LIVING CONCEPTS INC (NPI# 1619164910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619164910 |
| Entity Type | Organization |
| Organization Name | ASSISTED LIVING CONCEPTS INC |
| Other Organization Name | CREST HOUSE |
| Practice Address |
3829 South Chicago Avenue South Milwaukee WI 53172 |
| Mailing Address |
W140 N8981 Lilly Road Attn Legal Department Menomonee Falls WI 53051-2325 |
| Practice Telephone | 4147623838 |
| Practice Fax Number | 4145714864 |
| Mailing Telephone | 2622578888 |
| Mailing Fax Number | 2622517633 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |
| Authorized Official Name | WALTER A LEVONOWICH (VICE PRESIDENT CONTROLLER) |
| Authorized Official Telephone | 2622578888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | WI | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Crest House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205002466 | Assisted Living Concepts Inc | Assisted Living Facility | 440 Tribble Gap Road, Cumming, GA 30144 | 2008-05-07 |
| 1083880272 | Assisted Living Concepts Inc | Assisted Living Facility | 7475 Country Club Drive, Golden Valley, MN 55427 | 2008-05-07 |
| 1508039348 | Assisted Living Concepts Inc | Assisted Living Facility | 513 North Adams, Carthage, TX 75633 | 2008-04-11 |
| 1609049444 | Assisted Living Concepts Inc | Assisted Living Facility | 124 Avery Street, Winterville, WI 30683 | 2008-04-11 |
| 1558534396 | Assisted Living Concepts Inc | Assisted Living Facility | 1160 Whitlock Avenue, Marietta, GA 30064 | 2008-04-11 |
| 1386817120 | Assisted Living Concepts Inc | Assisted Living Facility | 1300 West Waugh Street, Dalton, GA 30720-3434 | 2008-04-11 |
| 1639342470 | Assisted Living Concepts Inc | Assisted Living Facility | 700 Medical Court East, Inverness, FL 34452 | 2008-04-11 |
| 1487827226 | Assisted Living Concepts Inc | Assisted Living Facility | 3250 Quick Water Landing, Kennesaw, GA 30144 | 2008-04-11 |
| 1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
| 1659560514 | Assisted Living Concepts Inc | Assisted Living Facility | 2301 North Brook, Mckinney, TX 75069 | 2007-10-17 |
| Street Address |
3829 SOUTH CHICAGO AVENUE |
| City | SOUTH MILWAUKEE |
| State | WI |
| Zip Code | 53172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952860272 | Aaron J Schricker | Counselor | 827 Milwaukee Ave, South Milwaukee, WI 53172 | 2019-03-16 |
| 1699162883 | Callie Talatzko | Registered Nurse | 1638 Minnesota Ave, South Milwaukee, WI 53172 | 2015-04-25 |
| 1043556756 | Shawna Penelope Vasquez | Occupational Therapist | 1425 Mackinac Ave, Apt # 501, South Milwaukee, WI 53172 | 2012-12-27 |
| 1376840124 | Leah Ann Schmidt | Licensed Practical Nurse | 414 Southtowne Drive, 205, South Milwaukee, WI 53172 | 2011-02-14 |
| 1194844134 | Emily Ladich | Nurse Practitioner | 2901 South Chicago Avenue Ste 1, South Milwaukee, WI 53172 | 2007-03-29 |
| 1457477143 | Matthew G Bruins | Occupational Therapist | 3601 S. Chicago Avenue, South Milwaukee, WI 53172 | 2007-03-22 |
| 1134296718 | Ram K Mittal | Surgery | 100 15th Avenue, Suit 170, South Milwaukee, WI 53172 | 2006-11-29 |
| 1689915514 | Wal-mart Stores East Lp | Technician/Technologist | 222 N Chicago Ave, South Milwaukee, WI 53172 | 2013-03-01 |
| 1174799506 | School District of South Milwaukee | Local Education Agency (LEA) | 901 15th Ave, South Milwaukee, WI 53172 | 2008-05-06 |
| 1891868790 | Melvin F Foley | Dentist | 801 Milwaukee Ave, South Milwaukee, WI 53172 | 2006-11-16 |
| Find all providers in zip 53172 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437156676 | Franciscan Villa of South Milwaukee, Inc. | Assisted Living Facility | 3601 S Chicago Ave, South Milwaukee, WI 53172-3708 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654534 | Praitie Assisted Living Inc. | Assisted Living Facility | 749 E Oshkosh St, Ripon, WI 54971-1258 | 2020-09-22 |
| 1295340016 | St. Elizabeth Manor, Inc. | Assisted Living Facility | 111 Commercial Dr, Footville, WI 53537 | 2020-09-09 |
| 1730793001 | Zinzendorf Hall, Inc. | Assisted Living Facility | 1047 Hill St, Watertown, WI 53098-3015 | 2020-09-03 |
| 1184236044 | Francine Carter | Assisted Living Facility | 4341 N 19th St, Milwaukee, WI 53209-6831 | 2020-08-20 |
| 1598377905 | Nohc Jackson Senior Living LLC | Assisted Living Facility | N16744 Eagle Drive, Jackson, WI 53037 | 2020-08-18 |
| 1003427766 | Nohc Magnolia Meadows LLC | Assisted Living Facility | 1480 N 7th St, Manitowoc, WI 54220-2012 | 2020-08-14 |
| 1922616580 | Rheuvonia Reed | Assisted Living Facility | 543 E Arbor Cir, Oak Creek, WI 53154-8528 | 2020-07-20 |
| 1912515073 | Baldwin Coh, LLC | Assisted Living Facility | 1880 4th Ave, Baldwin, WI 54002-5134 | 2020-07-15 |
| 1427666593 | Hudson Coh II, LLC | Assisted Living Facility | 805 Heggen St, Hudson, WI 54016-5005 | 2020-07-15 |
| 1366050429 | Hudson Coh, LLC | Assisted Living Facility | 1111 Heggen St, Hudson, WI 54016-9222 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH MILWAUKEE |
| Zip Code | 53172 |
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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.