Organization Active NPI

Enlightenment Home Care LLC

  • Adult Care Home Facility
  • Milwaukee, WI
National Provider Identifier
1972194355
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
ENLIGHTENMENT HOME CARE LLC
Practice address
8624 W Glendale Ave
Milwaukee, WI 53225-5142
Phone
(414) 248-5335
NPI assigned
Jan 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Yee Her Yang, NURSE
Title
Nurse
Phone
(414) 248-5335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

8624 W Glendale Ave
Milwaukee, WI 53225-5142

Mailing address

8624 W Glendale Ave
Milwaukee, WI 53225-5142
Phone (414) 248-5335

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1972194355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8624 W GLENDALE AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532255142",
            "telephone_number": "414-248-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8624 W GLENDALE AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532255142",
            "telephone_number": "414-248-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTENMENT HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "YEE",
        "authorized_official_middle_name": "HER",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "414-248-5335",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 28, 2021; 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.