MEDICARE: NURSING A CARING CONCEPT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency	195097-04	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	195097-30	OTHER	WI	REGISTERED NURSE LICENSURE

General Provider Information

NPI Number	:	1528581097
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURSING A CARING CONCEPT LLC

Provider Business Mailing Address
First Line	:	3840 S 43RD ST APT 9
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53220-2151
Country	:	US
Telephone Number	:	414-763-4074
Fax Number	:

Provider Business Practice Location Address
First Line	:	3840 S 43RD ST APT 33
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53220-2178
Country	:	US
Telephone Number	:	414-763-4074
Fax Number	:

Authorized Official
Title or Position	:	OWNER/APRN
Name	:	MISS KAMIA MONET BEASLEY
Credential	:	MSN APRN
Telephone Number	:	414-763-4074

Provider Enumeration Date	:	07/17/2017
Last Update Date	:	07/21/2022

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