Organization Active NPI

Assisted Daily Living LLC

  • In Home Supportive Care Agency
  • Milwaukee, WI
National Provider Identifier
1366890196
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ASSISTED DAILY LIVING LLC
Practice address
1121 N Waverly PL. Ste. 503
Milwaukee, WI 53202-3475
Phone
(414) 271-5500
Fax
(414) 221-0507
NPI assigned
Jun 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Mr. Glenn Edward Johnston
Title
Administrator
Phone
(414) 271-5500

Specialties & licenses 1

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

Addresses

Primary practice location

1121 N Waverly PL. Ste. 503
Milwaukee, WI 53202-3475

Mailing address

1121 N Waverly PL. Ste 503
Milwaukee, WI 53202-3475
Phone (414) 271-5500

National Provider Directory

National Provider Directory
Tax ID family
Assisted Daily Living Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1366890196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 N WAVERLY PL. STE 503",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023475",
            "telephone_number": "414-271-5500",
            "fax_number": "414-221-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 N WAVERLY PL. STE. 503",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023475",
            "telephone_number": "414-271-5500",
            "fax_number": "414-221-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED DAILY LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-271-5500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 2, 2016; 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.