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ANGELA SUELINE CARROLL R.N. NPI 1194017194


NPI Information

NPI: 1194017194
Provider Name: ANGELA SUELINE CARROLL, R.N.
Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Individual
Address:
6228 W KAUL AVE APT 1
MILWAUKEE, WI
ZIP 53218
Phone: (262) 344-4002
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Angela Sueline Carroll, R.N. is a nursing facility intermediate care facility in Milwaukee, WI. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. Angela Sueline Carroll, R.N. NPI is 1194017194. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6228 W KAUL AVE APT 1
MILWAUKEE, WI
ZIP 53218-527
Phone: (262) 344-4002

The enumeration date for this NPI number is 5/9/2011 and was last updated on 6/12/2011.


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
13104A0625XAssisted Living FacilityAssisted Living, Mental Illness155143-030WISCONSINNo
2313M00000XNursing Facility/Intermediate Care Facility155143-030WISCONSINYes

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: 4/28/2024

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