NPIMap

Organization Active NPI

Med Group Adult Day Care of Wi

  • Adult Day Care Clinic/Center
  • Franklin, WI
National Provider Identifier
1154750511
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
0014565 Issued in WI
Legal business name
MED GROUP ADULT DAY CARE OF WI
Practice address
6572 S Lovers Lane Rd
Franklin, WI 53132-1209
Phone
(414) 755-0558
Fax
(414) 755-2470
NPI assigned
Nov 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Dariko Mekvabishvili
Title
President
Phone
(414) 755-0558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 0014565 WI Primary

Addresses

Primary practice location

6572 S Lovers Lane Rd
Franklin, WI 53132-1209

Mailing address

11402 N Port Washington Rd
Suite 215
Mequon, WI 53092-3447
Phone (414) 755-0558

National Provider Directory

National Provider Directory
Tax ID family
Med Group Adult Day Care of Wi2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1154750511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11402 N PORT WASHINGTON RD",
            "address_2": "SUITE 215",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923447",
            "telephone_number": "414-755-0558",
            "fax_number": "414-755-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6572 S LOVERS LANE RD",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531321209",
            "telephone_number": "414-755-0558",
            "fax_number": "414-755-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED GROUP ADULT DAY CARE OF WI",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "MEKVABISHVILI",
        "authorized_official_first_name": "DARIKO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-755-0558"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "WI",
            "license": "0014565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.