Active NPI
Supportive Living Home Health Care
- Home Health Agency
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SUPPORTIVE LIVING HOME HEALTH CARE
- Practice address
- 6815 W Capitol Dr
Suite 212
Milwaukee, WI 53216-2070 - Phone
- (414) 484-6037
- Fax
- (414) 755-7450
- NPI assigned
- May 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Anderson, RN
- Title
- RN Administrator
- Phone
- (414) 484-6037
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
6815 W Capitol Dr
Suite 212
Milwaukee, WI 53216-2070
Mailing address
6815 W Capitol Dr
Suite 212
Milwaukee, WI 53216-2070
Phone (414) 484-6037
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100042529 | Medicaid | WI |
National Provider Directory
National Provider Directory- Tax ID family
- Supportive Living Home Health Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Respite Care
- Milwaukee, WI
- NPI 1497623987
Locations
6815 W Capitol Dr
Ste 212
Milwaukee, WI 53216
Phone (414) 484-6037
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Respite Care
- Milwaukee, WI
- NPI 1497623987
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Milwaukee, WI
- NPI 1518298033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494460800000",
"number": "1740716729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6815 W CAPITOL DR",
"address_2": "SUITE 212",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532162070",
"telephone_number": "414-484-6037",
"fax_number": "414-755-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6815 W CAPITOL DR",
"address_2": "SUITE 212",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532162070",
"telephone_number": "414-484-6037",
"fax_number": "414-755-7450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPPORTIVE LIVING HOME HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "RN ADMINISTRATOR",
"authorized_official_telephone_number": "414-484-6037",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100042529",
"state": "WI"
}
],
"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 May 11, 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.