Active NPI
Assured Care Services, LLC
- In Home Supportive Care Agency
- Milwaukee, WI
National Provider Identifier
1275935959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100034350 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
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.