Provider Demographics
NPI:1083316723
Name:TRUSTED ASSISTANCE HEALTH CARE AGENCY
Entity Type:Organization
Organization Name:TRUSTED ASSISTANCE HEALTH CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL-BENTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:414-386-7827
Mailing Address - Street 1:7905 W APPLETON AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53218-4580
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7905 W APPLETON AVE STE 102
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53218-4580
Practice Address - Country:US
Practice Address - Phone:414-386-7827
Practice Address - Fax:414-751-6874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health