Loving Elderly Adult Day Care Center LLC

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

Legal business name

LOVING ELDERLY ADULT DAY CARE CENTER LLC

Practice address

7017 N 58TH St
Milwaukee, WI 53223-5204

Phone

(414) 207-6796

NPI assigned

Mar 12, 2020

Organization subpart

No

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

Authorized official

Name

Ncais Thao Vang

Title

Owner

Phone

(414) 243-5745

Specialties & licenses 3

Addresses

Other identifiers 2

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1750917589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 N 58TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532235204",
            "telephone_number": "414-207-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 N 58TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532235204",
            "telephone_number": "414-207-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING ELDERLY ADULT DAY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "NCAIS",
        "authorized_official_middle_name": "THAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-243-5745"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID",
            "identifier": "V5206389587103",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CETIFICATE",
            "identifier": "0017963",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Development & Aging Psychologist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Adult Development & Aging Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.