Familylivingllc

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

0013975 Issued in WI

Legal business name

FAMILYLIVINGLLC

Practice address

9120 N 94TH St
Milwaukee, WI 53224-1705

Phone

(414) 354-7004

NPI assigned

Apr 9, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Gwendolyn Lachelle Jones

Title

Director

Phone

(414) 354-7004

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1720344237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9120 N 94TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532241705",
            "telephone_number": "414-354-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 N 94TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532241705",
            "telephone_number": "414-354-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILYLIVINGLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "LACHELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-354-7004",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "WI",
            "license": "0013975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Medicine Associates
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• Family One Care Services of Wisconsin, LLC
• Family Values Personal Care
• Family Village Care
• Lynette Famous
• Janice Fan Smith, OD
• Fancy Seeing You, LLC
• Rebecca K. Fannin, NP
• Maureen J Fantazzi, PT

• Assisted Living Facility (Mental Illness) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Assisted Living Facility (Mental Illness) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.