Its a Passion Adult Family Home LLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

ITS A PASSION ADULT FAMILY HOME LLC

Practice address

8487 Kettle Moraine Dr
Kewaskum, WI 53040-9213

Phone

(414) 732-4485

NPI assigned

May 16, 2024

Organization subpart

No

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

Authorized official

Name

Margo Elisha DawsonNPI 1912570938

Title

Owner

Phone

(414) 732-4485

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margo Elisha Dawson

  • Home Health Aide
  • Glendale, WI
  • NPI 1912570938
  NPD Authorized official

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1447009840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8487 KETTLE MORAINE DR",
            "city": "KEWASKUM",
            "state": "WI",
            "postal_code": "530409213",
            "telephone_number": "414-732-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8487 KETTLE MORAINE DR",
            "city": "KEWASKUM",
            "state": "WI",
            "postal_code": "530409213",
            "telephone_number": "414-732-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITS A PASSION ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "MARGO",
        "authorized_official_middle_name": "ELISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-732-4485"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Erdmann, EDS
• Exodus Transitional Care Facility Inc.
• Nicolai S Gerhartz, PA-C
• Suzanne Marie Gessner, RN
• Mateusz Gwizdala, MD
• J Dennis Connor DDS SC
• Garrett Richard Jones
• Mitchell Kannal
• Meghan M Kelley, APNP
• Kewaskum Family Dentistry

• PACE Provider Organization in Kewaskum, WI
• Providers in Kewaskum, WI by specialty
• PACE Provider Organization in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.