Provider Demographics
NPI:1396013447
Name:NG ENTERPRISE, INC.
Entity Type:Organization
Organization Name:NG ENTERPRISE, INC.
Other - Org Name:D/B/A VISITING ANGELS LIVING ASSISTANCE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:DILLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-476-0025
Mailing Address - Street 1:7635 WEST BLUEMOUND ROAD,
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53213
Mailing Address - Country:US
Mailing Address - Phone:414-476-0025
Mailing Address - Fax:
Practice Address - Street 1:7635 WEST BLUEMOUND ROAD,
Practice Address - Street 2:SUITE 1B
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53213
Practice Address - Country:US
Practice Address - Phone:414-476-0025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NG ENTERPRISE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-12-05
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health