Organization Active NPI

Jelka, LLC

  • Nursing Care Agency
  • Lake Geneva, WI
National Provider Identifier
1053972026
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
JELKA, LLC
Practice address
N891 State Road 120
Lake Geneva, WI 53147-4224
Phone
(608) 322-6564
NPI assigned
Jun 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Jelka Leedle, BSNNPI 1003476102
Title
Registered Nurse
Phone
(608) 322-6564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

N891 State Road 120
Lake Geneva, WI 53147-4224

Mailing address

N891 State Road 120
Lake Geneva, WI 53147-4224
Phone (608) 322-6564

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1053972026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N891 STATE ROAD 120",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474224",
            "telephone_number": "608-322-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N891 STATE ROAD 120",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474224",
            "telephone_number": "608-322-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JELKA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "LEEDLE",
        "authorized_official_first_name": "JELKA",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "608-322-6564",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Geneva, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.