Organization Active NPI

Lee Quality Home Care, LLC

  • In Home Supportive Care Agency
  • La Crosse, WI
National Provider Identifier
1427338383
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LEE QUALITY HOME CARE, LLC
Practice address
1513 George St
La Crosse, WI 54603-2285
Phone
(608) 519-3124
NPI assigned
Aug 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Shawn X Lee
Title
General Manager
Phone
(608) 519-3124

Specialties & licenses 1

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

Addresses

Primary practice location

1513 George St
La Crosse, WI 54603-2285

Mailing address

1511 George Street
La Crosse, WI 54603

Other identifiers 1

IdentifierTypeStateIssuer
100016217MedicaidWI

National Provider Directory

National Provider Directory

Locations

1513 George St
La Crosse, WI 54603
Phone (608) 519-3124

1511 George St
La Crosse, WI 54603

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1427338383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 GEORGE STREET",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "54603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 GEORGE ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546032285",
            "telephone_number": "608-519-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE QUALITY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "608-519-3124"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100016217",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.