NPIMap

Organization Active NPI

Eminent Lifecare Solutions

Doing business as N/a

  • In Home Supportive Care Agency
  • Milwaukee, WI
National Provider Identifier
1831675578
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EMINENT LIFECARE SOLUTIONS
Doing business as
N/a
Practice address
4922 N 85TH St
Milwaukee, WI 53225-4209
Phone
(414) 520-1977
NPI assigned
Jul 16, 2018
Last updated
Jul 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Authorized official

Name
Kathy WalusayiNPI 1487959854
Title
Administrator
Phone
(414) 520-1977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4922 N 85TH St
Milwaukee, WI 53225-4209

Mailing address

4922 N 85TH St
Milwaukee, WI 53225-4209
Phone (414) 520-1977

Other names 1

  • N/A Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1831675578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 N 85TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532254209",
            "telephone_number": "414-520-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4922 N 85TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532254209",
            "telephone_number": "414-520-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMINENT LIFECARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "WALUSAYI",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-520-1977"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "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 Jul 16, 2018; 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.