LUTHER HAVEN (NPI# 1649703521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649703521 |
| Entity Type | Organization |
| Organization Name | LUTHER HAVEN |
| Practice Address |
8949 N 97th St Milwaukee WI 53224-1695 |
| Practice Telephone | 4143544600 |
| Practice Fax Number | 4144464178 |
| Mailing Telephone | 4143544600 |
| Mailing Fax Number | 4144464178 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |
| Authorized Official Name | JAMES ARYEETEY (MEMBER) |
| Authorized Official Telephone | 4143544600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 0015446 | WI | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629925 | Luther Haven | Skilled Nursing Facility | 1109 E Highway 7, Montevideo, MN 56265-1711 | 2005-06-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LUTHER HAVEN NURSING HOME | 1109 E Hwy 7, Montevideo, MN 56265-1711 |
| Street Address |
8949 N 97TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53224-1695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568568913 | Badger Acquisition of Wisconsin, LLC | Durable Medical Equipment & Medical Supplies | 8949 N 97th St, Milwaukee, WI 53224-1695 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124665336 | Ltc Pharmacy Services, LLC | Pharmacy | 11739 W Bradley Rd, Milwaukee, WI 53224 | 2019-12-06 |
| 1811494628 | Udoyen Health LLC | Psychiatry & Neurology | 1414 W Park Pl, Suite 202, Milwaukee, WI 53224 | 2018-04-09 |
| 1003198292 | Attentacare Residential Living LLC | In Home Supportive Care | 8225b North 107th Street, Milwaukee, WI 53224 | 2011-09-13 |
| 1366744278 | Sunday Kerobo | Registered Nurse | 9809 W Fountain Ave, Milwaukee, WI 53224 | 2010-11-29 |
| 1558677237 | Valorie J Roberts | Registered Nurse | 10282 W Fountain Ave Apt #1301, Milwaukee, WI 53224 | 2010-08-19 |
| 1699092999 | United Extended Home Healthcare Services | Home Health | 6455 N. Fresno Streeet, Milwaukee, WI 53224 | 2010-04-26 |
| 1063742096 | Contina Monique Williams | Licensed Practical Nurse | 3949 N 70th St, Milwaukee, WI 53224 | 2010-01-14 |
| 1316171234 | Laura Ann Stern | Registered Nurse | 7005 N102nd St, Milwaukee, WI 53224 | 2009-05-06 |
| 1124276977 | Mary Deloris Wilder | Registered Nurse | 9851 W. Dean Rd, Milwaukee, WI 53224 | 2008-09-05 |
| 1346413515 | Alex B Goldman | Counselor | 11414 W Park Place Suite 202, Milwaukee, WI 53224 | 2008-04-09 |
| Find all providers in zip 53224 | ||||
| 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 |
|---|---|---|---|---|
| 1184236044 | Francine Carter | Assisted Living Facility | 4341 N 19th St, Milwaukee, WI 53209-6831 | 2020-08-20 |
| 1518584044 | C.a.r.e. Assisted Living Facility, LLC | Assisted Living Facility | 4528 W Keefe Ave, Milwaukee, WI 53216-3457 | 2020-06-30 |
| 1952925695 | Sky's The Limit Adult Family Home LLC | Assisted Living Facility | 4407 N 62nd St, Milwaukee, WI 53218-5545 | 2020-05-28 |
| 1265052609 | Charlotte Adams | Assisted Living Facility | 4051 N 69th St, Milwaukee, WI 53216-1120 | 2020-04-24 |
| 1205475043 | Sensational Paradise Assisted Living LLC | Assisted Living Facility | 4056 N 41st St, Milwaukee, WI 53216-1606 | 2019-12-26 |
| 1215575907 | Maryann Adult Family Home LLC | Assisted Living Facility | 3008 W Carmen Ave, Milwaukee, WI 53209-4235 | 2019-12-13 |
| 1518517630 | A Graceful Life, LLC | Assisted Living Facility | 3930 N 70th St, Milwaukee, WI 53216-2020 | 2019-09-19 |
| 1689232407 | Lakesha Bannister | Assisted Living Facility | 5802 N 80th St, Milwaukee, WI 53218-1717 | 2019-06-05 |
| 1659835858 | We Care Wisconsin Adult Care LLC | Assisted Living Facility | 3051 N 56th St, Milwaukee, WI 53210-1530 | 2019-01-22 |
| 1134697386 | Shemika Johnson | Assisted Living Facility | 4337 N 13th St, Milwaukee, WI 53209-6938 | 2018-11-06 |
| Find all providers in MILWAUKEE | ||||
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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.