The Healing Haven of Wisconsin LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE HEALING HAVEN OF WISCONSIN LLC

Practice address

W244N4850 Swan Rd
Pewaukee, WI 53072-1402

Phone

(414) 333-4128

NPI assigned

Jan 30, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa R WengerNPI 1225592199

Title

Founder/Owner

Phone

(414) 333-4128

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.

• Lisa R Wenger

  • Customized Equipment (DME)
  • Pewaukee, WI
  • NPI 1225592199
  NPD (past) Authorized official

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1053875336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W244N4850 SWAN RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530721402",
            "telephone_number": "414-333-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W244N4850 SWAN RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530721402",
            "telephone_number": "414-333-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING HAVEN OF WISCONSIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "WENGER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "414-333-4128",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Grace Taw, DMD
• Aubrey D. Tempesta, C.AC
• Briana Rae Teschendorf
• Marlena Teuteberg, RN
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• Alan Thiede, PA-C
• Kristin Elizabeth Thieneman, PHARM.D.

• Durable Medical Equipment & Medical Supplies in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.