Active NPI
Chamomile Assisted Living, LTD.
- Assisted Living Facility
- Madison, WI
National Provider Identifier
1497588446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- CHAMOMILE ASSISTED LIVING, LTD.
- Practice address
- 22 Milo LN
Madison, WI 53714-1934 - Phone
- (608) 285-9724
- Fax
- (608) 285-9723
- NPI assigned
- Aug 24, 2024
- 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
- Jeffrey Shields
- Title
- Owner
- Phone
- (608) 228-7523
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
22 Milo LN
Madison, WI 53714-1934
Mailing address
22 Milo LN
Madison, WI 53714-1934
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724457600000",
"number": "1497588446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 MILO LN",
"city": "MADISON",
"state": "WI",
"postal_code": "537141934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 MILO LN",
"city": "MADISON",
"state": "WI",
"postal_code": "537141934",
"telephone_number": "608-285-9724",
"fax_number": "608-285-9723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHAMOMILE ASSISTED LIVING, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-24",
"last_updated": "2024-08-24",
"certification_date": "2024-08-24",
"status": "A",
"authorized_official_last_name": "SHIELDS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "608-228-7523"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"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 Aug 24, 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.