4 Lakes Health Services, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

4 LAKES HEALTH SERVICES, INC

Doing business as

Always Best Care Madison

Practice address

437 S Yellowstone Dr Ste 210
Madison, WI 53719-1061

Phone

(608) 315-2378

NPI assigned

Jun 6, 2019

Last updated

Jun 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erenst Agne

Title

President, Co-Owner

Phone

(715) 297-7644

Specialties & licenses 3

Addresses

Other names 1

• Always Best Care Madison Doing business as

Locations

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1134788896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 28 3/4 AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548689329",
            "telephone_number": "715-296-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 S YELLOWSTONE DR STE 210",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191061",
            "telephone_number": "608-315-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4 LAKES HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "AGNE",
        "authorized_official_first_name": "ERENST",
        "authorized_official_title_or_position": "PRESIDENT, CO-OWNER",
        "authorized_official_telephone_number": "715-297-7644"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Always Best Care Madison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.