Home Away From Home Living Services LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

0015974 Issued in WI

Legal business name

HOME AWAY FROM HOME LIVING SERVICES LLC

Practice address

8127 W Herbert Ave
Milwaukee, WI 53218-3632

Phone

(414) 881-4185

NPI assigned

Jun 26, 2016

Organization subpart

No

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

Authorized official

Name

Latoya Lacole Christian

Title

Ceo

Phone

(414) 881-4185

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466899200000",
    "number": "1730530239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76668",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532168268",
            "telephone_number": "414-881-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8127 W HERBERT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532183632",
            "telephone_number": "414-881-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME AWAY FROM HOME LIVING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-26",
        "last_updated": "2016-06-26",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_middle_name": "LACOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-881-4185"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WI",
            "license": "0015974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Home 2 Home Personal Care Services
• Home at Heart Health Care
• Home at Heart Mobility
• Home at Heart Personal Care Services
• Home at Heart Skilled Care
• Home Care Medical, Inc
• Home Health Managers LLC
• Home House LLC
• Home Life Care, Inc.
• Home Living Family Services LLC

• Adult Mental Health Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Adult Mental Health Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.