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NORTH COUNTRY INDEPENDENT LIVING NPI 1053540856


NPI Information

NPI: 1053540856
Provider Name: NORTH COUNTRY INDEPENDENT LIVING
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
2231 CATLIN AVE
SUPERIOR, WI
ZIP 54880
Phone: (715) 392-9118
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NORTH COUNTRY INDEPENDENT LIVING is an in home supportive care in Superior, WI. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. NORTH COUNTRY INDEPENDENT LIVING NPI is 1053540856. The provider is registered as an organization entity type.

The provider's business location address is:

2231 CATLIN AVE
SUPERIOR, WI
ZIP 54880-137
Phone: (715) 392-9118
Fax: (715) 392-4636

The provider's authorized official is John Nousaine .
The authorized official title is Director and has the following contact phone number (715) 392-9118.

The enumeration date for this NPI number is 7/14/2009 and was last updated on 7/14/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
143112700MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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