Entitled Personal Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ENTITLED PERSONAL CARE, LLC

Practice address

7319 N Teutonia Ave
Milwaukee, WI 53209-2005

Phone

(414) 206-4301

Fax

(414) 206-4302

NPI assigned

Feb 5, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Alex Teng Cha

Title

Administrator

Phone

(414) 206-4301

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517788800000",
    "number": "1255830261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7319 N TEUTONIA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532092005",
            "telephone_number": "414-206-4301",
            "fax_number": "414-206-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7319 N TEUTONIA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532092005",
            "telephone_number": "414-206-4301",
            "fax_number": "414-206-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTITLED PERSONAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A",
        "authorized_official_last_name": "CHA",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "TENG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-206-4301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100065593",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.