Organization Active NPI

Elite Garden Homes, Inc.

  • Home Health Agency
  • Milwaukee, WI
National Provider Identifier
1780929075
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1157 Issued in WI
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

Updated by the provider on Nov 28, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1157OtherWIWISCONSIN STATE HOME HEALTH LICENSE

Other names 1

  • ELITE GARDEN HOME HEALTH AGENCY Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.