SUPPORTIVE PERSONAL CARE SERVICES (NPI# 1568898260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568898260 |
| Entity Type | Organization |
| Organization Name | SUPPORTIVE PERSONAL CARE SERVICES |
| Practice Address |
5600 W Brown Deer Rd Suite 103 Brown Deer WI 53223 |
| Mailing Address |
5600 W Brown Deer Rd Suite 103 Brown Deer WI 53223-2311 |
| Practice Telephone | 4147510410 |
| Mailing Telephone | 4143659108 |
| Mailing Fax Number | 4143693686 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2018-06-29 |
| Authorized Official Name | WANDA STAPLES (OWNER) |
| Authorized Official Telephone | 4143659108 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100028490 | 05 |
| Street Address |
5600 W BROWN DEER RD SUITE 103 |
| City | BROWN DEER |
| State | WI |
| Zip Code | 53223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912901562 | Regal Home Health Services | Home Health | 5600 W Brown Deer Rd, Ste 107, Brown Deer, WI 53223-2346 | 2005-06-10 |
| 1669878732 | Katherine D Rhyme | Specialist | 5600 W Brown Deer Rd, Suite 208, Brown Deer, WI 53223-2311 | 2014-11-17 |
| 1073859708 | Debra Farrington | Social Worker | 5600 W Brown Deer Rd, Suite 216, Brown Deer, WI 53223-2311 | 2012-12-28 |
| 1881988079 | Laurel Cotton | Social Worker | 5600 W Brown Deer Rd, Suite 110, Brown Deer, WI 53223-2311 | 2011-06-05 |
| 1699071829 | Dawn Renae Hodi | Specialist | 5600 W Brown Deer Rd, Suite 208, Brown Deer, WI 53223-2311 | 2011-02-05 |
| 1780980342 | Andree Davis | Counselor | 5600 W Brown Deer Rd, Suite 110, Brown Deer, WI 53223 | 2011-01-31 |
| 1851607600 | Bradley Family Dental Group, Inc. | Dentist | 5600 W Brown Deer Rd, Suite G5, Brown Deer, WI 53223-2311 | 2010-08-30 |
| 1366754343 | Advance Transit, LLC | Non-emergency Medical Transport (VAN) | 5600 W Brown Deer Rd, Suite 110, Brown Deer, WI 53223-2311 | 2010-07-07 |
| 1063609733 | Renelle E. Nelson | Marriage & Family Therapist | 5600 W Brown Deer Rd, Suite 216, Brown Deer, WI 53223-2311 | 2007-09-26 |
| 1063615292 | Dr Ronald Z Arnold Sc | Podiatrist | 5600 W Brown Deer Rd, 101, Brown Deer, WI 53223-2346 | 2007-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742206 | Jamie Brown | Home Health Aide | 8200 W. Clovernook Street, Milwaukee, WI 53223 | 2020-08-28 |
| 1730725656 | Lekecia Ferguson | Case Manager/Care Coordinator | 7970 W Glendbrook Rd, Milwaukee, WI 53223 | 2019-11-26 |
| 1457994717 | Talitha Cumi | Specialist | 6239 West Boehlke Avenue, Tiana M. Jenkins, Mlwaukee, WI 53223 | 2019-10-18 |
| 1235627498 | Letitia Dotson | Licensed Practical Nurse | 9395 N 49th St, Apt 201, Brown Deer, WI 53223 | 2018-04-24 |
| 1588176002 | Courtney Erin Tomaszewski | Occupational Therapy Assistant | 7300 W. Dean Rd, Milwaukee, WI 53223 | 2017-10-25 |
| 1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
| 1346671302 | Atlantic Home Health Care, Inc | Home Health | 5600 West Brown Deer Road, #216, Brown Deer, WI 53223 | 2013-12-02 |
| 1720415938 | Bell Therapy, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7229-7231 W. Brentwood Ave., Milwaukee, WI 53223 | 2013-10-02 |
| 1528405701 | Ground Support Logistics LLC | Driver | 8200 W Browndeer Rd, Milwaukee, WI 53223 | 2013-05-29 |
| 1801136288 | Nicole M. Rintelman | Registered Nurse | 4600 W. Schroeder Drive, Rogers Memorial Hospital, Brown Deer, WI 53223 | 2013-02-22 |
| Find all providers in zip 53223 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443722 | Unlimited Home Care LLC | Home Health | 5960 W Brown Deer Rd Ste L01, Brown Deer, WI 53223-2310 | 2018-07-10 |
| 1346671302 | Atlantic Home Health Care, Inc | Home Health | 5600 West Brown Deer Road, #216, Brown Deer, WI 53223 | 2013-12-02 |
| 1912901562 | Regal Home Health Services | Home Health | 5600 W Brown Deer Rd, Ste 107, Brown Deer, WI 53223-2346 | 2005-06-10 |
| 1801395686 | Mobile Care Np, LLC | Home Health | 5050 W Brown Deer Rd, Brown Deer, WI 53223-2424 | 2018-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245561 | Comfort Care 4 U, LLC | Home Health | 7701 Mineral Point Rd Ste A, Madison, WI 53717-2027 | 2020-11-04 |
| 1639779754 | Wisconsin Independent Living Solutions LLC | Home Health | 817 Colton St, Waukesha, WI 53186-5126 | 2020-10-28 |
| 1821698341 | Jaqualynne Postuchow | Home Health | 8739 Smith St, Sayner, WI 54560-9696 | 2020-10-26 |
| 1467068767 | Lashonda Nicole Simmons | Home Health | 24th Street, 1812 North, Milwaukee, WI 53205-1410 | 2020-09-22 |
| 1124634332 | Nehemiah House, LLC | Home Health | 3901 N 21st Street, Milwaukee, WI 53206 | 2020-09-22 |
| 1699389593 | Infinity Care Services LLC | Home Health | 9203 W Bluemound Rd Ste A, Milwaukee, WI 53226-4484 | 2020-09-08 |
| 1982218426 | Homecare Pal, LLC | Home Health | 2916 Marketplace Dr Ste 209, Fitchburg, WI 53719-5327 | 2020-09-02 |
| 1366053118 | Adron Health Care, LLC | Home Health | 9117 S 20th St, Oak Creek, WI 53154-7465 | 2020-08-14 |
| 1790396521 | Faithful Living Home Health Care Agency LLC | Home Health | 3846 W Wisconsin Ave Apt 110, Milwaukee, WI 53208-3175 | 2020-08-14 |
| 1770194847 | Faithful Hands PCa LLC | Home Health | 8008 W Capitol Dr, Milwaukee, WI 53222-1918 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
| City | BROWN DEER |
| Zip Code | 53223 |
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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.