Provider Demographics
NPI:1033917018
Name:BEST CHOICE COMMUNITY LIVING LLC
Entity type:Organization
Organization Name:BEST CHOICE COMMUNITY LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:SEBULIBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-817-2055
Mailing Address - Street 1:PO BOX 240494
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53224-9017
Mailing Address - Country:US
Mailing Address - Phone:414-817-2055
Mailing Address - Fax:
Practice Address - Street 1:6278 W VILLA LN
Practice Address - Street 2:
Practice Address - City:BROWN DEER
Practice Address - State:WI
Practice Address - Zip Code:53223-3455
Practice Address - Country:US
Practice Address - Phone:414-817-2055
Practice Address - Fax:414-760-1102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility