Stellar Care

LBN: Stellar Care Llc
Stellar Care is an health care organization with primary practice located at 10625 W North Ave Ste 230 , Milwaukee WI 53226-2315. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Stellar Care Llc can be contacted via phone (414) 249-5698, or through Johnson, Shanna Marie via phone (414) 573-0179.

Contact Information

Primary practice address
10625 W North Ave Ste 230 Milwaukee WI 53226-2315
Phone: (414) 249-5698
Fax: (320) 207-5719
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Shanna Marie Nurse Practitioner (NP)
Phone: (414) 573-0179

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1750958104
LBN Legal business name Stellar Care Llc
DBA Doing business as Stellar Care
Authorized official Johnson, Shanna Marie Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2021
Last updated May 30th, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750958104 NPPES
Wisconsin MEDICAID 1386940575

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