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VESTA MEMORY CARE LLC NPI 1750996195


NPI Information

NPI: 1750996195
Provider Name: VESTA MEMORY CARE, LLC
Classification: Alzheimer Center (Dementia Center) - 311500000X
Entity Type: Organization

CLIA Number: 52D2197766

Address:
3965 BRADEE RD
BROOKFIELD, WI
ZIP 53005
Phone: (414) 234-5550
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VESTA MEMORY CARE, LLC is an alzheimer center dementia center in Brookfield, WI. The provider is a freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. VESTA MEMORY CARE, LLC NPI is 1750996195. The provider is registered as an organization entity type.

The provider's business location address is:

3965 BRADEE RD
BROOKFIELD, WI
ZIP 53005-166
Phone: (414) 234-5550

The provider's authorized official is Jayne Ziehm .
The authorized official title is Administrator and has the following contact phone number (414) 234-5550.

The CLIA number assigned to this NPI record is 52D2197766 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2020 and was last updated on 9/12/2020.


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
1311500000XAlzheimer Center (Dementia Center)Yes

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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