Organization Active NPI

Assured Care Services, LLC

  • In Home Supportive Care Agency
  • Milwaukee, WI
National Provider Identifier
1275935959
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ASSURED CARE SERVICES, LLC
Practice address
4319 N 76TH St
Suite 101
Milwaukee, WI 53222-2056
Phone
(414) 462-8908
Fax
(414) 462-8909
NPI assigned
Sep 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Batina M Brown
Title
Administrator
Phone
(414) 462-8908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4319 N 76TH St
Suite 101
Milwaukee, WI 53222-2056

Mailing address

4319 N 76TH St
Suite 101
Milwaukee, WI 53222-2056
Phone (414) 462-8908

Other identifiers 1

IdentifierTypeStateIssuer
100034350MedicaidWI

National Provider Directory

National Provider Directory

Locations

4319 N 76th St
Ste 101
Milwaukee, WI 53222
Phone (414) 462-8908

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1275935959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 N 76TH ST",
            "address_2": "SUITE 101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532222056",
            "telephone_number": "414-462-8908",
            "fax_number": "414-462-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 N 76TH ST",
            "address_2": "SUITE 101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532222056",
            "telephone_number": "414-462-8908",
            "fax_number": "414-462-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BATINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-462-8908"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100034350",
            "state": "WI"
        }
    ],
    "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 Sep 24, 2014; 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.