Provider Demographics
NPI:1093218661
Name:ALL ACCESS CARE LLC
Entity Type:Organization
Organization Name:ALL ACCESS CARE LLC
Other - Org Name:ALL ACCESS CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINITRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:GAGLIONE
Authorized Official - Suffix:
Authorized Official - Credentials:PERSONAL CARE SERVIC
Authorized Official - Phone:414-323-4419
Mailing Address - Street 1:9211 W CAPITOL DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53222-1532
Mailing Address - Country:US
Mailing Address - Phone:414-323-4419
Mailing Address - Fax:414-585-9081
Practice Address - Street 1:9211 W CAPITOL DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53222-1532
Practice Address - Country:US
Practice Address - Phone:414-323-4419
Practice Address - Fax:414-585-9081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-09
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100067071Medicaid