Oak Leaf Manor

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

OAK LEAF MANOR

Doing business as

Oak Leaf Manor

Practice address

8720 S 13TH St
Oak Creek, WI 53154-3700

Phone

(414) 388-4110

NPI assigned

Aug 14, 2023

Organization subpart

No

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

Authorized official

Name

Bonnie BrunoNPI 1962285155

Title

Owner

Phone

(414) 388-4110

Specialties & licenses 1

Addresses

Other names 1

• Oak Leaf Manor Doing business as

Practitioners 1

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

• Bonnie Eve Bruno

  • Adult Care Home Facility
  • Oak Creek, WI
  • NPI 1962285155
  NPD Authorized official

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1801679980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 S 13TH ST",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543700",
            "telephone_number": "414-388-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 S 13TH ST",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543700",
            "telephone_number": "414-388-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK LEAF MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-388-4110"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Leaf Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oak Creek Rehabilitation Hospital LLC (Rehabilitation Hospital of Oak Creek)
• Oak Creek Relief and Wellness SC
• Oak Creek Spine Center LLC (Oak Creek Chiropractic Center)
• Oak Creek Urgent Care LLC
• Oak Creek-Franklin JT. School District
• Oak Town LLC
• Oakcreek Medical and Occupational
• Ocdc, LLC (Oak Creek Dental Care)
• David S. Ogren, M.D.
• Michael G Olenchek, P.T.

• Home Health Aide in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Home Health Aide in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.