Vesta Memory Care, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

VESTA MEMORY CARE, LLC

Practice address

3965 Bradee Rd
Brookfield, WI 53005-2166

Phone

(414) 234-5550

NPI assigned

Sep 12, 2020

Organization subpart

No

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

Authorized official

Name

Jayne ZiehmNPI 1457562696

Title

Administrator

Phone

(414) 234-5550

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jayne Ziehm, MPT

  • Geriatric Physical Therapist
  • Wauwatosa, WI
  • NPI 1457562696
  NPD Authorized official
• Binal Motawar

  • Physical Therapist
  • Longview, WA
  • NPI 1083036479
  NPD (past)

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

{
    "created_epoch": "1599868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599868800000",
    "number": "1750996195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6317 W LLOYD ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132007",
            "telephone_number": "414-234-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 BRADEE RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052166",
            "telephone_number": "414-234-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESTA MEMORY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-12",
        "last_updated": "2020-09-12",
        "certification_date": "2020-09-12",
        "status": "A",
        "authorized_official_last_name": "ZIEHM",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-234-5550"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micheala Venable
• Jeffrey Verenski, DC
• Jeffrey Verhagen
• Alyssa Verne, COTA
• Josef Caesar Dayon Vero, PT (FCCPT CWT5)
• Ann Christine Vick, PT
• Julian Vieth
• Tarianna Villanueva
• Antonio Christian Vincent
• Visage Facial Plastic Surgery SC

• Alzheimer Center (Dementia Center) in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Alzheimer Center (Dementia Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.