RN Private Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RN PRIVATE CARE LLC

Practice address

8325 N Teutonia Ave
Brown Deer, WI 53209-1558

Phone

(414) 610-1915

NPI assigned

Jun 9, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Tracy Lorraine Edwards, RN

Title

Registered Nurse

Phone

(414) 610-1915

Specialties & licenses 5

Addresses

Other identifiers 1

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1710113311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 N TEUTONIA AVE",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532091558",
            "telephone_number": "414-610-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 N TEUTONIA AVE",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532091558",
            "telephone_number": "414-610-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RN PRIVATE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "414-610-1915",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952541757",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Ann Reickert, MA
• Carol M Retzer, LPN
• Matthew M Richlen, MD
• Nicole M. Rintelman, MSN, PMHNP-BC
• Gladys Rivera, RN
• Anthony Roach, PC-IT, SW
• Kenya Roberson, APSW
• Breanna Robinson
• Markena Robinson
• Robynn'S Gifted Hands of Love LLC

• Home Health Agency in Brown Deer, WI
• Providers in Brown Deer, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.