ESSENTIAL HOME CARE LIVING LLC NPI 1740915883

NPI Information

NPI: 1740915883
Provider Name: ESSENTIAL HOME CARE LIVING, LLC
Classification: Registered Nurse - 163WH0200X
Entity Type: Organization

Specialization: Home Health

Address:
4680 W BRADLEY RD
BROWN DEER, WI
ZIP 53223
Phone: (414) 446-8039
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ESSENTIAL HOME CARE LIVING, LLC is a home health registered nurse in Brown Deer, WI. ESSENTIAL HOME CARE LIVING, LLC NPI is 1740915883. The provider is registered as an organization entity type.

The provider's business location address is:

4680 W BRADLEY RD
BROWN DEER, WI
ZIP 53223-764
Phone: (414) 446-8039
Fax: (414) 755-7405

The provider's authorized official is Lakisha Dilworth .
The authorized official title is Owner/administrator and has the following contact phone number (262) 720-2552.

The enumeration date for this NPI number is 7/22/2022 and was last updated on 7/22/2022.

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	Primary
1	253Z00000X	In Home Supportive Care		No
2	385H00000X	Respite Care		No
3	163WH0200X	Registered Nurse	Home Health	Yes

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
1	100159620	MEDICAID	WISCONSIN

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

NPI Synchronization or Removal

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