Individual provider Active NPI

Marques Carroll

  • Home Health Agency
  • Milwaukee, WI
National Provider Identifier
1023671989
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
8018 W Capitol Dr # 105
Milwaukee, WI 53222-1906
Phone
(414) 491-6962
Fax
(414) 488-1411
NPI assigned
Apr 17, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8018 W Capitol Dr # 105
Milwaukee, WI 53222-1906

Mailing address

8018 W Capitol Dr Ste 105
Milwaukee, WI 53222-1906
Phone (414) 491-6962

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mcarroll@essentialassistancellc.com Direct
Other URL mcarroll@essentialassistancellc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Assistance Prenatal Care Agency CurrentSince Apr 20, 2021 Accepting new patients
Essential Assistance LLC Home Health CurrentSince Jul 4, 2021 Accepting new patients

Locations

8018 W Capitol Dr
Ste 105
Milwaukee, WI 53222
Phone (414) 491-6962

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1023671989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8018 W CAPITOL DR STE 105",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221906",
            "telephone_number": "414-491-6962",
            "fax_number": "414-488-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8018 W CAPITOL DR # 105",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221906",
            "telephone_number": "414-491-6962",
            "fax_number": "414-488-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "MARQUES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcarroll@essentialassistancellc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mcarroll@essentialassistancellc.com",
            "address_1": "1633 W Bender Rd Apt 14B",
            "city": "Glendale",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532093824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mcarroll@essentialassistancellc.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "8018 W Capitol Dr # 105",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532221906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.