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LIFE ENHANCEMENT SUPPORTIVE SERVICES NPI 1184060998


NPI Information

NPI: 1184060998
Provider Name: LIFE ENHANCEMENT SUPPORTIVE SERVICES
Classification: Case Manager/Care Coordinator - 171M00000X
Entity Type: Organization
Address:
3537 N 57TH ST
MILWAUKEE, WI
ZIP 53216
Phone: (414) 690-0672
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LIFE ENHANCEMENT SUPPORTIVE SERVICES is a case manager care coordinator in Milwaukee, WI. The provider is a person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. LIFE ENHANCEMENT SUPPORTIVE SERVICES NPI is 1184060998. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3537 N 57TH ST
MILWAUKEE, WI
ZIP 53216-819
Phone: (414) 690-0672

The provider's authorized official is Tonyetta L Ross .
The authorized official title is Executive Director and has the following contact phone number (414) 690-0672.

The enumeration date for this NPI number is 5/20/2013 and was last updated on 5/20/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171M00000XCase Manager/Care CoordinatorYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
112088599OTHERWISCONSINCAQH

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: 11/14/2023

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