NPIMap

Organization Active NPI

My Home Care, LLC

  • In Home Supportive Care Agency
  • Milwaukee, WI
National Provider Identifier
1225416175
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
100014873 Issued in WI
Legal business name
MY HOME CARE, LLC
Practice address
3510 W Burnham St
Milwaukee, WI 53215-2096
Phone
(414) 342-8300
NPI assigned
May 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
Mr. Koua F Thao
Title
Administrator
Phone
(414) 342-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 100014873 WI Primary

Addresses

Primary practice location

3510 W Burnham St
Milwaukee, WI 53215-2096

Mailing address

3510 W Burnham St
Suite 200
Milwaukee, WI 53215-2096
Phone (414) 342-8300

National Provider Directory

National Provider Directory

Locations

3510 W Burnham St
Ste 200
Milwaukee, WI 53215

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1225416175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 W BURNHAM ST",
            "address_2": "SUITE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152096",
            "telephone_number": "414-342-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 W BURNHAM ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152096",
            "telephone_number": "414-342-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "THAO",
        "authorized_official_first_name": "KOUA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-342-8300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WI",
            "license": "100014873",
            "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 May 12, 2015; 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.