Provider Demographics
NPI:1699135814
Name:CARING HANDS ADULT FAMILY CENTER LLC
Entity type:Organization
Organization Name:CARING HANDS ADULT FAMILY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-704-1294
Mailing Address - Street 1:11114 W MEADOW CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53224-5053
Mailing Address - Country:US
Mailing Address - Phone:414-704-1294
Mailing Address - Fax:
Practice Address - Street 1:4043 N 68TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-1112
Practice Address - Country:US
Practice Address - Phone:414-763-9990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-01
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI0015871310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility