Hazelkcaresllc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

HAZELKCARESLLC

Practice address

3566 N 12TH St
Milwaukee, WI 53206-3034

Phone

(414) 397-1388

NPI assigned

Jun 12, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Dominque Rayvon Bell, BELL

Title

Caregiver

Phone

(414) 397-1388

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1781222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1306770342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3566 N 12TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532063034",
            "telephone_number": "414-397-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3566 N 12TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532063034",
            "telephone_number": "414-397-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZELKCARESLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "DOMINQUE",
        "authorized_official_middle_name": "RAYVON",
        "authorized_official_title_or_position": "CAREGIVER",
        "authorized_official_telephone_number": "414-397-1388",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BELL"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanita Marie Haynes
• Raynesha Hays
• Sara R Hays, NP
• Kristin M Haywood, MSW, CAPSW
• Alyssa Hazel, AU.D.
• Thomas Joseph Hazenfield, DO
• HCS Medical Staffing, Inc.
• He Acpuncture & Herbal Medicine, LLC
• Meredith Head, MS, LPC
• Headway

• Adult Care Home Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Adult Care Home Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.