Licensed to Care

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

303906-031 Issued in WI

Legal business name

LICENSED TO CARE

Practice address

5846 N 68TH St
Milwaukee, WI 53218-1808

Phone

(414) 462-9111

NPI assigned

Feb 15, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Natasha Nicole Blair

Title

LPN

Phone

(414) 462-9111

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1164729877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5846 N 68TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532181808",
            "telephone_number": "414-462-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5846 N 68TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532181808",
            "telephone_number": "414-462-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LICENSED TO CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "414-462-9111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "WI",
            "license": "303906-031",
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "WI",
            "license": "303906-031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mei-Ying Liang, M.D., PHD
• Mengyao Liang, M.D.
• Natalie Mae Libby
• Nicole Diane Liberio
• Natalya Libo, DO
• Katherine R Lichtenberg, D.O.
• Lakesha Renea Liddell, M.S., LPC -IT
• Molly Elizabeth Liddell, DNP RN AGCNS-BC
• Antonette Marie Liddy, M.S. LPC NCC
• Joseph Michael Lidester, P.T.A.

• Alzheimer Center (Dementia Center) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Alzheimer Center (Dementia Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.