Organization Active NPI

Farazana Home Care LLC

  • In Home Supportive Care Agency
  • Milwaukee, WI
National Provider Identifier
1558126771
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FARAZANA HOME CARE LLC
Practice address
1812 W Halsey Ave
Milwaukee, WI 53221-2843
Phone
(414) 242-1089
NPI assigned
Feb 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Ashadullah Larsen
Title
Owner/President
Phone
(414) 242-1089

Specialties & licenses 1

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

Addresses

Primary practice location

1812 W Halsey Ave
Milwaukee, WI 53221-2843

Mailing address

1812 W Halsey Ave
Milwaukee, WI 53221-2843
Phone (414) 242-1089

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1558126771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 W HALSEY AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212843",
            "telephone_number": "414-242-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 W HALSEY AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212843",
            "telephone_number": "414-242-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARAZANA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "ASHADULLAH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "414-242-1089"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

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