Provider Demographics
NPI:1265314249
Name:NADINES CARE
Entity type:Organization
Organization Name:NADINES CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DARTANYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRKENDOLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-349-3215
Mailing Address - Street 1:4359 N 18TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53209-6827
Mailing Address - Country:US
Mailing Address - Phone:414-349-3215
Mailing Address - Fax:414-349-3215
Practice Address - Street 1:2017 W NEIL PL
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53209-5025
Practice Address - Country:US
Practice Address - Phone:414-349-3215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NADINES CARE HOME I
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility