Organization Active NPI

Support Plus Personal Care

  • In Home Supportive Care Agency
  • Mequon, WI
National Provider Identifier
1669258430
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SUPPORT PLUS PERSONAL CARE
Practice address
1017 W Glen Oaks LN Ste 203
Mequon, WI 53092-3376
Phone
(262) 420-4008
Fax
(262) 236-9190
NPI assigned
Sep 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Dr. Rubinder Kaur Malczewski, MDNPI 1679860605
Title
Owner
Phone
(262) 420-4008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1017 W Glen Oaks LN Ste 203
Mequon, WI 53092-3376

Mailing address

1017 W Glen Oaks LN Ste 203
Mequon, WI 53092-3376
Phone (262) 420-4008

National Provider Directory

National Provider Directory

Locations

1017 W Glen Oaks Ln
Ste 203
Mequon, WI 53092
Phone (262) 420-4008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1669258430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 W GLEN OAKS LN STE 203",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923376",
            "telephone_number": "262-420-4008",
            "fax_number": "262-236-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 W GLEN OAKS LN STE 203",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923376",
            "telephone_number": "262-420-4008",
            "fax_number": "262-236-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT PLUS PERSONAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "MALCZEWSKI",
        "authorized_official_first_name": "RUBINDER",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-420-4008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.