Active NPI
Lee Quality Home Care, LLC
- In Home Supportive Care Agency
- La Crosse, WI
National Provider Identifier
1427338383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100016217 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
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.