Active NPI
Davis Supportive Home Care Agency
- In Home Supportive Care Agency
- Milwaukee, WI
National Provider Identifier
1174491062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- DAVIS SUPPORTIVE HOME CARE AGENCY
- Practice address
- 2820 N Richards St Ste 100
Milwaukee, WI 53212-2440 - Phone
- (414) 309-3213
- Fax
- (414) 309-3213
- NPI assigned
- Oct 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Davida Clifton
- Title
- Owner
- Phone
- (414) 309-3213
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
2820 N Richards St Ste 100
Milwaukee, WI 53212-2440
Mailing address
2820 N Richards St Ste 100
Milwaukee, WI 53212-2440
Phone (414) 309-3213
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761264000000",
"number": "1174491062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 N RICHARDS ST STE 100",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532122440",
"telephone_number": "414-309-3213",
"fax_number": "414-309-3213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 N RICHARDS ST STE 100",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532122440",
"telephone_number": "414-309-3213",
"fax_number": "414-309-3213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVIS SUPPORTIVE HOME CARE AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-23",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A",
"authorized_official_last_name": "CLIFTON",
"authorized_official_first_name": "DAVIDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-309-3213"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"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 Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.