Living Proof Family Facility LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LIVING PROOF FAMILY FACILITY LLC

Practice address

5620 N 78TH St
Milwaukee, WI 53218-2145

Phone

(855) 573-5733

NPI assigned

Sep 8, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Kelly M Campbell

Title

Owner

Phone

(855) 573-5733

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1043767981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 N 78TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532182145",
            "telephone_number": "855-573-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 N 78TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532182145",
            "telephone_number": "855-573-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING PROOF FAMILY FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-573-5733",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lekesha Rene Livingston, APSW
• Mark A Livingston, LPCIT, SAC
• Jennifer L Livschitz, MD, MS
• Stephanie Lizaso, PHARMD

• 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 Sep 8, 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.