NPIMap

Organization Active NPI

Making a Difference Community Services

  • In Home Supportive Care Agency
  • Kenosha, WI
National Provider Identifier
1619376464
Registry record updated Dec 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MAKING A DIFFERENCE COMMUNITY SERVICES
Practice address
5902 5TH Ave
1
Kenosha, WI 53140-4221
Phone
(262) 577-5776
Fax
(186) 683-4169
NPI assigned
Aug 18, 2014
Last updated
Dec 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2014

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

Authorized official

Name
Ms. Lisa P Hunter
Title
Ceo/Founder
Phone
(262) 344-3691

Specialties & licenses 1

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

Addresses

Primary practice location

5902 5TH Ave
1
Kenosha, WI 53140-4221

Mailing address

PO Box 1264
Kenosha, WI 53141-1264
Phone (262) 577-5776

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419120000000",
    "number": "1619376464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1264",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531411264",
            "telephone_number": "262-577-5776",
            "fax_number": "186-683-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5902 5TH AVE",
            "address_2": "1",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531404221",
            "telephone_number": "262-577-5776",
            "fax_number": "186-683-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKING A DIFFERENCE COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-12-21",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "262-344-3691",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2014; 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.