Knealski Personal Cares Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KNEALSKI PERSONAL CARES SERVICES, LLC

Practice address

4427 W Fond Du Lac Ave
Milwaukee, WI 53216-3444

Phone

(414) 585-0308

Fax

(414) 763-7834

NPI assigned

Apr 9, 2020

Organization subpart

No

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

Authorized official

Name

Katie M Harris

Title

Program Administrator

Phone

(414) 507-2975

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• KNealski Personal Cares Services, LLC Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1124647284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 N 50TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162933",
            "telephone_number": "414-507-2975",
            "fax_number": "414-763-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4427 W FOND DU LAC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163444",
            "telephone_number": "414-585-0308",
            "fax_number": "414-763-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNEALSKI PERSONAL CARES SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "414-507-2975"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001161962",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Specturm",
            "affiliation": "N",
            "endpointDescription": "Internet",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4427 W Fond Du Lac Ave",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532163444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KNealski Personal Cares Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey P Knapp
• Megan Ziegler Knapp, NP
• Patrick James Knapp Jr., DDS
• Rebecca Knapp, LPN
• William R Knavel III, DDS
• Mark J Kneepkens, DDS
• Catherine Grace Knier, MD, PHD
• Westin Knigge
• Aliazay Knight
• Angela M Knight, LCSW

• In Home Supportive Care Agency in Milwaukee, WI
• Providers in Milwaukee, 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 Apr 9, 2020; 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.