Walcare Adult Family Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

0015921 Issued in WI

Legal business name

WALCARE ADULT FAMILY HOME LLC

Practice address

3912 N 67TH St
Milwaukee, WI 53216-2008

Phone

(414) 841-1654

Fax

(414) 402-8273

NPI assigned

Aug 10, 2016

Last updated

Aug 10, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Richard A Walker III

Title

Ceo

Phone

(414) 841-1654

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1003360777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 N 67TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162008",
            "telephone_number": "414-861-1654",
            "fax_number": "414-204-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3912 N 67TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162008",
            "telephone_number": "414-841-1654",
            "fax_number": "414-402-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALCARE ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-841-1654",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "0015921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.