MEDICARE: NADINES CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1265314249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NADINES CARE

Provider Business Mailing Address
First Line	:	4359 N 18TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-6827
Country	:	US
Telephone Number	:	414-349-3215
Fax Number	:	414-349-3215

Provider Business Practice Location Address
First Line	:	2017 W NEIL PL
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-5025
Country	:	US
Telephone Number	:	414-349-3215
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DARTANYAN KIRKENDOLL
Credential	:
Telephone Number	:	414-349-3215

Provider Enumeration Date	:	07/22/2025
Last Update Date	:	07/22/2025

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Directions to “NADINES CARE ” Practice Location

Language	Start Address	Practice Location

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