SACRED GARDEN INC (NPI# 1790178952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790178952 |
| Entity Type | Organization |
| Organization Name | SACRED GARDEN INC |
| Practice Address |
4201 W Fond Du Lac Ave Milwaukee WI 53216-3527 |
| Practice Telephone | 4148711040 |
| Practice Fax Number | 4148712419 |
| Mailing Telephone | 4148711040 |
| Mailing Fax Number | 4148712419 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |
| Authorized Official Name | MS. LINDA SWIFT (VICE PRESIDENT) |
| Authorized Official Telephone | 4148711040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
4201 W FOND DU LAC AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53216-3527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| 1457841066 | Rebeka Fried | Occupational Therapist | 3134 N 53rd St, Milwaukee, WI 53216 | 2018-05-18 |
| 1952831497 | Nina Marie Evans | Home Health Aide | 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 | 2017-06-18 |
| 1578009080 | Annette L Veasey | Counselor | 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 | 2017-01-09 |
| 1295277143 | Gentle Hands Home Healthcare | Home Health | 6815 N. 68th Street, Milwaukee, WI 53216 | 2016-11-09 |
| 1639622780 | Luisa Julia Morales | Counselor | 5228 Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-07-25 |
| 1568811776 | Eye-care Home Health Care | In Home Supportive Care | 6221 W Keefe Pkwy, Milwaukee, WI 53216 | 2016-06-08 |
| 1013382167 | Helens Supportive Services | Home Health | 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 | 2015-12-01 |
| Find all providers in zip 53216 | ||||
| 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.