PROFESSIONAL PERSONAL CARE SERVCIES (NPI# 1215316088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215316088 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL PERSONAL CARE SERVCIES |
| Practice Address |
500 W Silver Spring Dr Suite 200 Glendale WI 53217-5051 |
| Practice Telephone | 4148476331 |
| Practice Fax Number | 4144353152 |
| Mailing Telephone | 4148476331 |
| Mailing Fax Number | 4144353152 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |
| Authorized Official Name | MS. TWANDA GATES (ADMINISTRATOR) |
| Authorized Official Telephone | 4148476330 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 10043014 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100043014 | 05 |
| Street Address |
500 W SILVER SPRING DR SUITE 200 |
| City | GLENDALE |
| State | WI |
| Zip Code | 53217-5051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033211099 | Mehran Mehrabi | Dentist | 500 W Silver Spring Dr, Suite 250 K, Glendale, WI 53217-5051 | 2006-09-01 |
| 1225564362 | Posey/house Transportation Services | Non-emergency Medical Transport (VAN) | 500 W Silver Spring Dr, Suite K-200, Glendale, WI 53217-5051 | 2017-05-11 |
| 1528591211 | Every Season Counseling LLC | Social Worker | 500 W Silver Spring Dr, Suite K270, Glendale, WI 53217-5051 | 2017-04-10 |
| 1205368099 | Babynme LLC | Case Management | 500 W Silver Spring Dr, Suite 200, Glendale, WI 53217-5051 | 2017-03-30 |
| 1366896698 | Cherubs Homecare Services, LLC | Home Health | 500 W Silver Spring Dr, K-200, Glendale, WI 53217-5051 | 2016-04-23 |
| 1679948558 | Mary Hair | Counselor | 500 W Silver Spring Dr, Suite 200, Glendale, WI 53217-5051 | 2015-12-03 |
| 1578959581 | Corliss Ann Breen | Counselor | 500 W Silver Spring Dr, Suite 200, Glendale, WI 53217-5051 | 2015-04-07 |
| 1568884732 | Myc Holdings LLC | Community/Behavioral Health | 500 W Silver Spring Dr, Suite 200, Glendale, WI 53217-5051 | 2014-01-07 |
| 1922448885 | Mitchell R Cohen | Counselor | 500 W Silver Spring Dr, Suite 200, Glendale, WI 53217-5051 | 2013-06-25 |
| 1174806376 | Envision Health Care | In Home Supportive Care | 500 W Silver Spring Dr, Suite K-200, Glendale, WI 53217-5051 | 2011-09-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| 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 |
|---|---|---|---|---|
| 1114587102 | Milesbrook, LLC | In Home Supportive Care | 4915 W Bell Rd Ste 209, Glendale, AZ 85308-3468 | 2019-06-20 |
| 1629543616 | Beyond Home Care | In Home Supportive Care | 225 E Broadway # 305b, Glendale, CA 91205-1008 | 2018-10-05 |
| 1811478605 | Center of Care | In Home Supportive Care | 500 W Silver Spring Dr Ste 261, Glendale, WI 53217-5051 | 2018-08-28 |
| 1619468337 | Caredwell | In Home Supportive Care | 1345 Greenbriar Rd, Glendale, CA 91207-1253 | 2018-05-29 |
| 1033608252 | Johnathan T Veal | In Home Supportive Care | 6767 W Butler Dr Apt 230, Glendale, AZ 85302-5551 | 2018-05-02 |
| 1437658317 | Jessica Lorraine Lucas | In Home Supportive Care | 5049 W Beverly Ln, Glendale, AZ 85306-2029 | 2018-02-06 |
| 1053849000 | Vass Inc | In Home Supportive Care | 6710 N 47th Ave Ste 2b, Glendale, AZ 85301-4111 | 2017-06-02 |
| 1669916748 | Parma River LLC | In Home Supportive Care | 4425 W Olive Ave Ste 124, Glendale, AZ 85302-3844 | 2016-12-08 |
| 1952725673 | Bailey Multispecialty Group, Inc. | In Home Supportive Care | 1110 Norton Ave, Glendale, CA 91202-2029 | 2014-02-17 |
| 1134478837 | Reliable Caring Services | In Home Supportive Care | 450 N Brand Blvd Ste 600, Glendale, CA 91203-2349 | 2012-09-10 |
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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.