=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689532509
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | REAL HEALTHCARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/10/2026
-----------------------------------------------------
Last Update Date | 01/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | W183S8750 RACINE AVE
-----------------------------------------------------
City | MUSKEGO
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53150-8067
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 262-971-1798
-----------------------------------------------------
Fax | 888-571-5845
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3209 TANGLEWOOD DR
-----------------------------------------------------
City | WAUKESHA
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53189-6889
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 262-385-2004
-----------------------------------------------------
Fax | 888-571-5845
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | REBECCA HALVERSON
-----------------------------------------------------
Credential | APNP
-----------------------------------------------------
Telephone | 262-385-2004
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------