Close to Home Personal Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CLOSE TO HOME PERSONAL CARE, LLC

Practice address

6051 W Brown Deer Rd Ste 203
Brown Deer, WI 53223-2263

Phone

(414) 306-3263

NPI assigned

Jul 15, 2021

Last updated

Nov 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shenisha DavisNPI 1073220760

Title

Owner

Phone

(414) 306-3263

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shenisha Davis

  • Driver
  • Brown Deer, WI
  • NPI 1073220760
  NPD Authorized official

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1245802404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 W BROWN DEER RD STE 203",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532232263",
            "telephone_number": "414-306-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 W BROWN DEER RD STE 203",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532232263",
            "telephone_number": "414-306-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOSE TO HOME PERSONAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHENISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-306-3263"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pam A Cass, LCSW
• Maikou Chang
• Pasua Chang, MS, RDN, CD
• Checkpoint Industries
• City Wide Group Inc
• Anastacia Clucas
• Elizabeth Ann Cocos, MSW
• Coddle Care PNCC
• Coleman's Care Cab
• Latoya Marie Collins, LPN

• Home Health Agency in Brown Deer, WI
• Providers in Brown Deer, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.