North Lakes Nursing Home Health Care Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NORTH LAKES NURSING HOME HEALTH CARE AGENCY LLC

Practice address

225 E Fairmount Ave
Milwaukee, WI 53217

Phone

(414) 967-9355

NPI assigned

Jun 20, 2018

Organization subpart

No

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

Authorized official

Name

Lisa Woller

Title

Owner/Administrator

Phone

(262) 825-3204

Specialties & licenses 1

Addresses

Other names 1

• North Lakes Nursing Doing business as

Locations

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1174017339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E FAIRMOUNT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532175853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E FAIRMOUNT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53217",
            "telephone_number": "414-967-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LAKES NURSING HOME HEALTH CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "WOLLER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "262-825-3204"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Lakes Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nan Norins, MD
• Erica Ann Norman, M.S., CF-SLP
• Mackenzie Zoe Norman, MA
• North Avenue Family Medical Center
• North Avenue Vision Center
• North Shore Audubon Dental, LLC
• North Shore Cardiology SC
• North Shore Pathologists SC
• North Shore Podiatry, Inc.
• North Shore Surgical Center a Wi

• Home Health Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.