Healthcare Provider Details

I. General information

NPI: 1548844111
Provider Name (Legal Business Name): ALTCARE HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2021
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1636 MILLER PARK WAY
WEST MILWAUKEE WI
53214-3604
US

IV. Provider business mailing address

1636 MILLER PARK WAY
WEST MILWAUKEE WI
53214-3604
US

V. Phone/Fax

Practice location:
  • Phone: 414-385-9500
  • Fax: 414-385-7200
Mailing address:
  • Phone: 414-385-9500
  • Fax: 414-385-9700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MAGED GINDI
Title or Position: CEO
Credential: RPH
Phone: 626-962-1061