SE Adult Home Care, LLC.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SE ADULT HOME CARE, LLC.

Practice address

11662 Sherwood LN
Arbor Vitae, WI 54568-9242

Phone

(715) 892-2665

NPI assigned

May 13, 2016

Organization subpart

No

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

Authorized official

Name

Scott Erno

Title

Caregiver/Owner

Phone

(715) 892-2665

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1598111072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11662 SHERWOOD LN",
            "city": "ARBOR VITAE",
            "state": "WI",
            "postal_code": "545689242",
            "telephone_number": "715-892-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11662 SHERWOOD LN",
            "city": "ARBOR VITAE",
            "state": "WI",
            "postal_code": "545689242",
            "telephone_number": "715-892-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SE ADULT HOME CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "ERNO",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CAREGIVER/OWNER",
        "authorized_official_telephone_number": "715-892-2665"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.