JEFFERSON CREST LLC (NPI# 1528504602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528504602 |
| Entity Type | Organization |
| Organization Name | JEFFERSON CREST LLC |
| Practice Address |
126 W Mineral St Milwaukee WI 53204-1844 |
| Practice Telephone | 4142701970 |
| Practice Fax Number | 4142701971 |
| Mailing Telephone | 4142701970 |
| Mailing Fax Number | 4142701971 |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |
| Authorized Official Name | DANIEL E TAYLOR (CEO/PRESIDENT) |
| Authorized Official Telephone | 4146887272 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
126 W MINERAL ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53204-1844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528423290 | Blue Ribbon Healthcare LLC | Health Maintenance Organization | 1743 South1st Street, Milwaukee, WI 53204 | 2015-12-23 |
| 1215336599 | Marsha Vann | Counselor | 1028 N 9th St, Milwaukee, WI 53204 | 2014-08-22 |
| 1891109260 | Melissa Bendever | Counselor | 1111 South 6th Street, Milwaukee, WI 53204 | 2014-06-13 |
| 1942585823 | Theresa Marie Hintze | Counselor | 600 W Virginia Atlas Ste 203, Milwaukee, WI 53204 | 2011-10-11 |
| 1922395151 | Palmas & Ram Rudra LLC | Chiropractor | 1247 S. Cesar E. Chaves Drive, Milwaukee, WI 53204 | 2011-07-08 |
| 1225355183 | Victoria A White | Family Medicine | 16th Street Community Health Center, 1032 S Cesar E. Chavez Drive, Milwaukee, WI 53204 | 2010-04-30 |
| 1174850499 | Dnt Associates Inc. | Dentist | 710 W. Historic Mitchell St., Mitchell Street Dental, Milwaukee, WI 53204 | 2009-11-06 |
| 1851559124 | Michael L Kitzinger | Social Worker | 1201 W Historic Mitchell St, Milwaukee, WI 53204 | 2008-05-23 |
| 1083778781 | Douglas Ralph Higbie | Psychologist | 634 W Mitchell St, Milwaukee, WI 53204 | 2006-12-20 |
| 1013019413 | Romeo C Lo Md | Internal Medicine | 1672 S 9th St, 2nd Floor, Milwaukee, WI 53204 | 2006-09-05 |
| Find all providers in zip 53204 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191346 | Beyond Care Services | In Home Supportive Care | 728 W Historic Mitchell St, Milwaukee, WI 53204-3528 | 2020-10-15 |
| 1013524966 | Esperanza Home Care, LLC | In Home Supportive Care | 4369 S Howell Ave Ste 304, Milwaukee, WI 53207-5055 | 2020-09-24 |
| 1265040711 | Diversity Home Health Services | In Home Supportive Care | 5757 W Oklahoma Ave Ste 200, Milwaukee, WI 53219-4303 | 2020-07-21 |
| 1487262457 | Sister & Sister Home Healthcare LLC | In Home Supportive Care | 2672 N 67th St Apt 2, Milwaukee, WI 53213-1461 | 2020-07-16 |
| 1134740368 | Right At Home LLC | In Home Supportive Care | 313 N Plankinton Ave Ste 205, Milwaukee, WI 53203-3104 | 2020-04-28 |
| 1760010243 | Prairieland Health Service, LLC | In Home Supportive Care | 814 N 26th St, Milwaukee, WI 53233-1508 | 2020-03-30 |
| 1750914669 | Inner City Compassionate Care LLC | In Home Supportive Care | 6830 W Villard Ave Ste 307, Milwaukee, WI 53218-3968 | 2020-02-19 |
| 1699312124 | Urban Leaders-mke | In Home Supportive Care | 5514 W Lisbon Ave, Milwaukee, WI 53210-2755 | 2019-12-03 |
| 1649812199 | Community Connections Family Resource Center,llc | In Home Supportive Care | 9330 W Lincoln Ave Ste A22, Milwaukee, WI 53227-2300 | 2019-10-16 |
| 1194372243 | Joshua Rashad Jackson Sr. | In Home Supportive Care | 6340 N 84th St Apt 5, Milwaukee, WI 53225-1972 | 2019-08-22 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.