Juanita'S Residenital Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JUANITA'S RESIDENITAL CARE LLC

Practice address

3316 N 25TH St
Milwaukee, WI 53206-1236

Phone

(414) 388-0903

NPI assigned

Jul 13, 2023

Organization subpart

No

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

Authorized official

Name

Mr. LT Austin

Title

Owner

Phone

(414) 388-0903

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1225717671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 N 70TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161128",
            "telephone_number": "414-388-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 N 25TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532061236",
            "telephone_number": "414-388-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUANITA'S RESIDENITAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "LT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-388-0903",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.