Living Proof Family Facility II

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LIVING PROOF FAMILY FACILITY II

Practice address

6544 W Lawn Ave
Milwaukee, WI 53218-3019

Phone

(855) 573-5733

Fax

(888) 675-6600

NPI assigned

Sep 7, 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": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1063969020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6544 W LAWN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532183019",
            "telephone_number": "855-573-5733",
            "fax_number": "888-675-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6544 W LAWN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532183019",
            "telephone_number": "855-573-5733",
            "fax_number": "888-675-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING PROOF FAMILY FACILITY II",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "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": []
}

• Joseph Liverseed, MSW
• Living Gentle Cares LLC
• Living in Balance Recovery Services LLC
• Living Made Easy Homes, LLC
• Living My Life LLC
• Living Proof Family Facility LLC
• Living Proof Personal Care Agency
• Lekesha Rene Livingston, APSW
• Mark A Livingston, LPCIT, SAC
• Jennifer L Livschitz, MD, MS

• 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 7, 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.