Organization Active NPI

Prestige Adult Day Care Center LLC

  • Adult Day Care Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1174877591
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
176207-30 Issued in WI
Legal business name
PRESTIGE ADULT DAY CARE CENTER LLC
Practice address
8048 N 76TH St
Milwaukee, WI 53223-3202
Phone
(414) 343-9616
NPI assigned
Nov 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Ms. Lakisha H King, RN
Title
Director
Phone
(414) 343-9616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 176207-30 WI Primary

Addresses

Primary practice location

8048 N 76TH St
Milwaukee, WI 53223-3202

Mailing address

2924 W Roosevelt Dr
Milwaukee, WI 53216-1838
Phone (414) 343-9616

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1174877591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 W ROOSEVELT DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161838",
            "telephone_number": "414-343-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8048 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532233202",
            "telephone_number": "414-343-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE ADULT DAY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-343-9616",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "WI",
            "license": "176207-30",
            "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 Nov 7, 2012; 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.