Organization Active NPI

Enlighten Personal Care Agency

  • Home Health Agency
  • Milwaukee, WI
National Provider Identifier
1689112302
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ENLIGHTEN PERSONAL CARE AGENCY
Practice address
3565 N Martin Luther King Dr
Milwaukee, WI 53212-1459
Phone
(414) 248-7533
Fax
(414) 444-8432
NPI assigned
Feb 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Authorized official

Name
Ms. Leola Mae Williams, MS, CSAC, LPC-IT
Title
Executive Director
Phone
(414) 248-7533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3565 N Martin Luther King Dr
Milwaukee, WI 53212-1459

Mailing address

3565 N Martin Luther King Dr
Milwaukee, WI 53212-1459
Phone (414) 248-7533

National Provider Directory

National Provider Directory

Locations

3565 N Martin Luther King Dr
Milwaukee, WI 53212
Phone (414) 248-7533

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1689112302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 N MARTIN LUTHER KING DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121459",
            "telephone_number": "414-248-7533",
            "fax_number": "414-444-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 N MARTIN LUTHER KING DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121459",
            "telephone_number": "414-248-7533",
            "fax_number": "414-444-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTEN PERSONAL CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LEOLA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-248-7533",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, CSAC, LPC-IT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 1, 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.