OrganizationActive
Lake View Adult Family Home
NPI 1710119151 · Community Health Worker · Pewaukee, WI
Lake View Adult Family Home is a Community Health Worker organization in Pewaukee, WI (NPI 1710119151).
Provider details
- NPI number
- 1710119151
- Entity type
- Organization
- Primary specialty
- Community Health WorkerOther Service Providers
- Organization subpart
- No
- Authorized official
- Douangmala Phrasavath, Registered Nurse(414) 379-9713
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
W278n2456 Prospect Ave
Pewaukee, WI 53072-5220
Phone: (414) 379-9713
Street-level locationGet directions
Mailing address
W278n2456 Prospect Ave
Pewaukee, WI 53072-5220
Registry dates
- Enumerated
- 2009-08-19
- Last updated
- 2009-08-19
Frequently asked questions
- What is Lake View Adult Family Home's NPI number?
- Lake View Adult Family Home's National Provider Identifier (NPI) is 1710119151, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake View Adult Family Home?
- Lake View Adult Family Home is classified in the NPPES registry as Community Health Worker (Other Service Providers).
- Where is Lake View Adult Family Home located?
- Lake View Adult Family Home's practice location on file with NPPES is W278n2456 Prospect Ave, Pewaukee, WI 53072-5220.
- What is Lake View Adult Family Home's phone number?
- The practice phone number listed in the NPPES registry for Lake View Adult Family Home is (414) 379-9713.
- Who is the authorized official for Lake View Adult Family Home?
- The authorized official listed on Lake View Adult Family Home's NPPES record is Douangmala Phrasavath, Registered Nurse. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake View Adult Family Home's NPI active?
- Yes — Lake View Adult Family Home's NPI (1710119151) is active in the NPPES registry as of the last update on 2009-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.