Restoring Lives, Personal Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

RESTORING LIVES, PERSONAL CARE AGENCY LLC

Practice address

2829 Perry
Madison, WI 53713-3292

Phone

(608) 709-5330

Fax

(608) 709-5330

NPI assigned

Nov 7, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn L Bennett-Crite

Title

Owner / Administrator

Phone

(815) 944-8354

Specialties & licenses 1

Addresses

Other names 1

• Restoring Lives, Personal Care Agency LLC Former legal business name

Locations

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1720520851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 PERRY ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537133292",
            "telephone_number": "608-709-5330",
            "fax_number": "608-709-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 PERRY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537133292",
            "telephone_number": "608-709-5330",
            "fax_number": "608-709-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORING LIVES, PERSONAL CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "BENNETT-CRITE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER / ADMINISTRATOR",
        "authorized_official_telephone_number": "815-944-8354",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restoring Lives, Personal Care Agency LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.