Organization Active NPI

One Lakeview Home Care LLC

  • In Home Supportive Care Agency
  • Madison, WI
National Provider Identifier
1295418184
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ONE LAKEVIEW HOME CARE LLC
Practice address
6406 Toribrooke LN
Madison, WI 53719-4803
Phone
(614) 327-8257
NPI assigned
Aug 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Yusuf Mohamed Ali
Title
Owner
Phone
(614) 327-8257

Specialties & licenses 1

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

Addresses

Primary practice location

6406 Toribrooke LN
Madison, WI 53719-4803

Mailing address

6406 Toribrooke LN
Madison, WI 53719-4803
Phone (614) 327-8257

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1295418184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 TORIBROOKE LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537194803",
            "telephone_number": "614-327-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6406 TORIBROOKE LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537194803",
            "telephone_number": "614-327-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE LAKEVIEW HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "YUSUF",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-327-8257"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.