Healthcare Provider Details

I. General information

NPI: 1902859655
Provider Name (Legal Business Name): NORTHPOINT/MILWAUKEE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 BOWEN ST
OSHKOSH WI
54901-2356
US

IV. Provider business mailing address

7400 NEW LA GRANGE ROAD SUITE 100
LOUISVILLE KY
40222
US

V. Phone/Fax

Practice location:
  • Phone: 414-282-2600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. ALLEN CRAIG TSCHUDI
Title or Position: MEMBER
Credential:
Phone: 502-429-8062