Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ELANDIS SUPPORTIVE LIVING LLC
NPI 1962312165
Clinical Nurse Specialist - Home Health in Milwaukee, WI

Q: What is Elandis Supportive Living LLC's NPI number?

The NPI number for Elandis Supportive Living LLC is 1962312165. It was assigned to this organization in the NPPES registry on September 9, 2026.

Q: What is Elandis Supportive Living LLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Home Health, with taxonomy code 364SH0200X.

Active since September 09, 2026

8117 W SCRANTON PL, MILWAUKEE, WI 53218(414) 294-9123 Get Directions Write a Review

NPPES record added: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Elandis Supportive Living Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELANDIS SUPPORTIVE LIVING LLC (NPI 1962312165) is a healthcare organization registered as a home health in Milwaukee, Wisconsin and active in the NPI registry since September 2026. The organization lists Olympia Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1962312165

Entity TypeOrganization

Primary Taxonomy364SH0200X

Legal Business NameELANDIS SUPPORTIVE LIVING LLC

Location Address8117 W SCRANTON PLMilwaukee, WI 53218-3547

Mailing Address8117 W Scranton PlMilwaukee, WI 53218-3547 · (414) 294-9123

Phone(414) 294-9123

Organization SubpartNo

Authorized OfficialOlympia JohnsonOwner · (414) 294-9123

Enumeration DateSeptember 9, 2026

NPPES CertifiedSeptember 9, 2026

✔ NPI 1962312165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Home HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SH0200X

8117 W SCRANTON PL, Milwaukee, WI 53218

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Other Identifiers 1

Medicaid100394073WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elandis Supportive Living LLC's NPI number?

The NPI number for Elandis Supportive Living LLC is 1962312165. It was assigned to this organization in the NPPES registry on September 9, 2026.

Where is Elandis Supportive Living LLC located?

Elandis Supportive Living LLC is located at 8117 W Scranton Pl, Milwaukee, WI 53218. The listed phone number is (414) 294-9123.

What is Elandis Supportive Living LLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Home Health, with taxonomy code 364SH0200X.

When was this NPI record last updated?

The NPPES record for Elandis Supportive Living LLC was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.