Active NPI
Support Plus Personal Care
- In Home Supportive Care Agency
- Mequon, WI
National Provider Identifier
1669258430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rubinder Kaur Malczewski, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Family Medicine Physician
- Aurora, IL
- NPI 1679860605
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
- Jennifer Elizabeth Strom, M.A., LPC
- Susan Doerflinger Sturdevant, LCSW
- Daniel Andrew Sullivan, DDS
- Elizabeth Gral Sullivan, MS/CCC-SLP
- Melissa J Summerfield, MS, LPC
- Susan Doerflinger MSW LCSW Sac LLC
- Andrea Lynn Swanson, MA, LPC-IT
- Brandon Swantz, D.C.
- Philip James Swoboda, FAAA
- Linda Marie Szafranski, M.S.W. LCSW ACSW
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.