National Provider Identifier Database

MED GROUP ADULT DAY CARE OF WI LLC
Custodial Care Facility

A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.


Contact Information

MED GROUP ADULT DAY CARE OF WI, LLC
10549 W FOREST HOME AVE
HALES CORNERS, WI53130-2057
Phone: 414-755-0558
Fax: 414-755-2470
Website:
Specialty Taxonomy Code
* Custodial Care Facility 311Z00000X

* Indicates primary specialty

NPI Profile & details for MED GROUP ADULT DAY CARE OF WI, LLC

NPI Number 1437409737
Legal business name
LBN
MED GROUP ADULT DAY CARE OF WI, LLC
Authorized official DARIKO MEKVABISHVILI - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/13/2012
Last updated 09/13/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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