Arc Angels Senior Home Care of SE Wi, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ARC ANGELS SENIOR HOME CARE OF SE WI, LLC

Practice address

1001 W Glen Oaks LN
Suite 238
Mequon, WI 53092-3365

Phone

(262) 241-7770

NPI assigned

Oct 17, 2016

Last updated

Oct 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim M Cassiani

Title

Ceo

Phone

(262) 241-7770

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1508317322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W GLEN OAKS LN",
            "address_2": "SUITE 238",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923365",
            "telephone_number": "262-241-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W GLEN OAKS LN",
            "address_2": "SUITE 238",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923365",
            "telephone_number": "262-241-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC ANGELS SENIOR HOME CARE OF SE WI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "CASSIANI",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "262-241-7770"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Mequon, WI
• Providers in Mequon, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.