=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831750298
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CURANTIS HOME HEALTH LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/26/2019
-----------------------------------------------------
Last Update Date | 06/26/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | N60W15126 BOBOLINK AVE
-----------------------------------------------------
City | MENOMONEE FALLS
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53051-5904
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 262-853-5092
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 840 N GREENFIELD AVE
-----------------------------------------------------
City | WAUKESHA
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53186-5225
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 262-853-5092
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER / ORGANIZER
-----------------------------------------------------
Name | LINDSAY LEIGH GIULIANI
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 262-853-5092
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251J00000X
-----------------------------------------------------
Taxonomy Name | Nursing Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------