Organization Active NPI

Careshare Assisted Living, Inc.

  • Assisted Living Facility
  • Milwaukee, WI
National Provider Identifier
1174701502
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
0009058 Issued in WI
Legal business name
CARESHARE ASSISTED LIVING, INC.
Practice address
2780 N Menomonee River Pkwy
Milwaukee, WI 53222-4543
Phone
(262) 644-8035
Fax
(262) 644-9604
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Deborah Lynn Roegner
Title
Administrative Secretary
Phone
(262) 644-8035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 0009058 WI Primary

Addresses

Primary practice location

2780 N Menomonee River Pkwy
Milwaukee, WI 53222-4543

Mailing address

5726 Debbie LN
West Bend, WI 53095-9134
Phone (262) 644-8035

National Provider Directory

National Provider Directory
Tax ID family
Careshare Assisted Living Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1174701502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 DEBBIE LN",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530959134",
            "telephone_number": "262-644-8035",
            "fax_number": "262-644-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 N MENOMONEE RIVER PKWY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532224543",
            "telephone_number": "262-644-8035",
            "fax_number": "262-644-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESHARE ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "ROEGNER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATIVE SECRETARY",
        "authorized_official_telephone_number": "262-644-8035"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "0009058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.