Active NPI
Elite Garden Homes, Inc.
- Home Health Agency
- Milwaukee, WI
National Provider Identifier
1780929075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1157
- Legal business name
- ELITE GARDEN HOMES, INC.
- Practice address
- 11414 W Park PL
Suite 202
Milwaukee, WI 53224-3500 - Phone
- (414) 459-3275
- Fax
- (414) 434-4207
- NPI assigned
- Nov 28, 2012
- 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
- Mr. Jerry Sona, CEO
- Title
- Ceo
- Phone
- (414) 241-5019
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1157 | WI | Primary |
Addresses
Primary practice location
11414 W Park PL
Suite 202
Milwaukee, WI 53224-3500
Mailing address
10501 W Bradley Rd
Milwaukee, WI 53224-2673
Phone (414) 459-3275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1157 | Other | WI | WISCONSIN STATE HOME HEALTH LICENSE |
Other names 1
- ELITE GARDEN HOME HEALTH AGENCY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354060800000",
"number": "1780929075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10501 W BRADLEY RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532242673",
"telephone_number": "414-459-3275",
"fax_number": "414-434-4207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11414 W PARK PL",
"address_2": "SUITE 202",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532243500",
"telephone_number": "414-459-3275",
"fax_number": "414-434-4207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE GARDEN HOMES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-28",
"last_updated": "2012-11-28",
"status": "A",
"authorized_official_last_name": "SONA",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "414-241-5019",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "WI",
"license": "1157",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN STATE HOME HEALTH LICENSE",
"identifier": "1157",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ELITE GARDEN HOME HEALTH AGENCY",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.