Individual provider Active NPI

Latoya Marie Rutley, AAS

  • Home Health Aide
  • Brown Deer, WI
National Provider Identifier
1063214427
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
92-3696216 Issued in WI
Practice address
4460 W Deer Run Dr Apt 104
Brown Deer, WI 53223-6404
Phone
(414) 477-9927
NPI assigned
Mar 26, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 92-3696216 WI Primary

Addresses

Primary practice location

4460 W Deer Run Dr Apt 104
Brown Deer, WI 53223-6404

Mailing address

4460 W Deer Run Dr Apt 104
Brown Deer, WI 53223-6404
Phone (414) 477-9927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Associate of Applied Science

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Love Home Health Care CurrentSince Mar 30, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1063214427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 W DEER RUN DR APT 104",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532236404",
            "telephone_number": "414-477-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 W DEER RUN DR APT 104",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532236404",
            "telephone_number": "414-477-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEY",
        "first_name": "LATOYA",
        "middle_name": "MARIE",
        "credential": "AAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "WI",
            "license": "92-3696216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brown Deer, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.