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1750279535 NPI number — AVINA OF MILWAUKEE LLC

NPI Number: 1750279535
Health Care Provider/Practitioner: AVINA OF MILWAUKEE LLC

Information about “1750279535” NPI (AVINA OF MILWAUKEE LLC) exists in 1750279535 in HTML format HTML  |  1750279535 in plain Text format TXT  |  1750279535 in PDF (Portable Document Format) PDF  |  1750279535 in an XML format XML  formats.

NPI Number : 1750279535 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750279535",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AVINA OF MILWAUKEE LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5454 FARGO AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SKOKIE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60077-3210",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "847-983-4860",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9255 N 76TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILWAUKEE",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53223-1058",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "414-355-9300",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/27/2025",
    "LastUpdateDate": "06/27/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TOPPER",
    "AuthorizedOfficialFirstName": "AARON",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "847-983-4860",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "314000000X",
        "TaxonomyName": "Skilled Nursing Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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