B.a.Israel LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

0015847 Issued in WI

Legal business name

B.A.ISRAEL LLC

Doing business as

Darboy Assisted Living

Practice address

N9520 Silver Court
Appleton, WI 54915

Phone

(920) 832-9290

Fax

(920) 832-0327

NPI assigned

May 16, 2016

Last updated

May 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bright Amudoaghan

Title

Managing Member

Phone

(773) 416-8534

Specialties & licenses 1

Addresses

Other names 1

• Darboy Assisted Living Doing business as

Tax ID family

Ba Israel LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• B.a. Israel LLC

  dba Darboy Assisted Living

  • Assisted Living Facility (Mental Illness)
  • Appleton, WI
  • NPI 1811434301
  NPD tax ID

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1871940213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N9520 SILVER COURT",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54915",
            "telephone_number": "920-832-9290",
            "fax_number": "920-832-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N9520 SILVER COURT",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54915",
            "telephone_number": "920-832-9290",
            "fax_number": "920-832-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.A.ISRAEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "AMUDOAGHAN",
        "authorized_official_first_name": "BRIGHT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "773-416-8534"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "WI",
            "license": "0015847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Darboy Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanna Ayala-Rutter, MT-BC
• Femi B Ayanrino, MD
• Rachell Renae Ayers, M.D.
• Faiza M Aziz, DO
• B.a. Israel LLC (Darboy Assisted Living)
• Karin S. Babcock, OT
• Peggy J. Babino
• Rebecca Lee Babka
• Baby Bear Cranial Clinic
• Linda L Bacheller, R.N.

• Mental Illness Community Based Residential Treatment Facility in Appleton, WI
• Providers in Appleton, WI by specialty
• Mental Illness Community Based Residential Treatment Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.