Organization Active NPI

Advocates for Independent Living II, LLC

  • In Home Supportive Care Agency
  • Sturgeon Bay, WI
National Provider Identifier
1942434550
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ADVOCATES FOR INDEPENDENT LIVING II, LLC
Practice address
57 N 12TH Ave Ste 103
Sturgeon Bay, WI 54235-1395
Phone
(920) 746-2000
Fax
(920) 746-2004
NPI assigned
May 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Ms. Kay Bidwell Loberg
Title
President
Phone
(920) 746-2000

Specialties & licenses 1

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

Addresses

Primary practice location

57 N 12TH Ave Ste 103
Sturgeon Bay, WI 54235-1395

Mailing address

57 N 12TH Ave Ste 103
Sturgeon Bay, WI 54235-1395
Phone (920) 746-2000

Other identifiers 1

IdentifierTypeStateIssuer
100014956MedicaidWI

National Provider Directory

National Provider Directory

Locations

57 N 12th Ave
Ste 103
Sturgeon Bay, WI 54235
Phone (920) 746-2000

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1942434550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 N 12TH AVE STE 103",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351395",
            "telephone_number": "920-746-2000",
            "fax_number": "920-746-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 N 12TH AVE STE 103",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351395",
            "telephone_number": "920-746-2000",
            "fax_number": "920-746-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATES FOR INDEPENDENT LIVING II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "BIDWELL LOBERG",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-746-2000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100014956",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgeon Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.