Provider Demographics
NPI:1669195541
Name:UNBREAKABLE COMMITMENTS HOME AND HEALTH II LLC
Entity type:Organization
Organization Name:UNBREAKABLE COMMITMENTS HOME AND HEALTH II LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DOMINIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-439-5346
Mailing Address - Street 1:5801 WASHINGTON AVE STE 99
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:WI
Mailing Address - Zip Code:53406-4010
Mailing Address - Country:US
Mailing Address - Phone:414-210-2119
Mailing Address - Fax:
Practice Address - Street 1:5284 N 82ND CT
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53218-3521
Practice Address - Country:US
Practice Address - Phone:414-439-5346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility