Sadies Leisure Living Adult Family Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

0016063 Issued in WI

Legal business name

SADIES LEISURE LIVING ADULT FAMILY HOME

Practice address

2800 W Howard Ave
Milwaukee, WI 53221-5814

Phone

(414) 839-9146

NPI assigned

May 13, 2016

Organization subpart

No

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

Authorized official

Name

Debra Rena YoungNPI 1992215289

Title

Owner

Phone

(414) 803-9966

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debra Rena Young, LPN,CCMA, NA

  • Personal Care Attendant
  • Wauwatosa, WI
  • NPI 1992215289
  NPD (past) Authorized official

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1033566567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9017 W WATERFORD SQ N",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532282242",
            "telephone_number": "414-803-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W HOWARD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532215814",
            "telephone_number": "414-839-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADIES LEISURE LIVING ADULT FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-803-9966"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "0016063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David W Sadler, M.D.
• Lori A Sadowski, APNP
• Eddy Sadowsky, OTR
• Hoda F Saedi, PHARMD
• Erin R. Saeed, PA-C

• 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 May 13, 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.