Organization Active NPI

Vangaurd Home Healthcare

  • Home Health Agency
  • Milwaukee, WI
National Provider Identifier
1033549159
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VANGAURD HOME HEALTHCARE
Practice address
9310 N 107TH St
Milwaukee, WI 53224-1121
Phone
(414) 216-4516
Fax
(414) 527-1063
NPI assigned
Nov 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Ms. Jamila K Gray, APNP-BC
Title
Clinical Director
Phone
(414) 216-4516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9310 N 107TH St
Milwaukee, WI 53224-1121

Mailing address

9310 N 107TH St
Milwaukee, WI 53224-1121
Phone (414) 216-4516

National Provider Directory

National Provider Directory

Locations

9310 N 107th St
Milwaukee, WI 53224
Phone (414) 216-4516

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1033549159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 N 107TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532241121",
            "telephone_number": "414-216-4516",
            "fax_number": "414-527-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 N 107TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532241121",
            "telephone_number": "414-216-4516",
            "fax_number": "414-527-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGAURD HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JAMILA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "414-216-4516",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APNP-BC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 27, 2013; 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.