North Country Independent Living

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

NORTH COUNTRY INDEPENDENT LIVING

Practice address

2231 Catlin Ave
Superior, WI 54880-5137

Phone

(715) 392-9118

Fax

(715) 392-4636

NPI assigned

Jul 14, 2009

Organization subpart

No

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

Authorized official

Name

John Nousaine

Title

Director

Phone

(715) 392-9118

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1053540856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 CATLIN AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805137",
            "telephone_number": "715-392-9118",
            "fax_number": "715-392-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 CATLIN AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805137",
            "telephone_number": "715-392-9118",
            "fax_number": "715-392-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "NOUSAINE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-392-9118"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43112700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Newberry
• Karen Wyse Niedermier, APRN, CNP
• Deborah Ann Noble-Olson, MACCCSLP
• Amanda Kay Nordgren, AU.D.
• Crystal M Norris, SAC-IT
• Northern Oral & Maxillofacial Surgeons, PA
• Northwest Counseling & Guidance Clinic
• Northwest Counseling and Guidance - Northwest Journey - Superior
• Northwest Wisconsin Community Services Agency Inc.
• Susan Nowak, PTA

• In Home Supportive Care Agency in Superior, WI
• Providers in Superior, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.