Organization Active NPI

Care Connection

  • In Home Supportive Care Agency
  • Brookfield, WI
National Provider Identifier
1316556293
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CARE CONNECTION
Practice address
120 Bishops Way Ste 165
Brookfield, WI 53005-6249
Phone
(414) 841-5614
Fax
(414) 240-3595
NPI assigned
Jul 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Martavia StanfordNPI 1548985930
Title
Director
Phone
(414) 841-5614

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 1

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

Addresses

Primary practice location

120 Bishops Way Ste 165
Brookfield, WI 53005-6249

Mailing address

12007 W Burleigh St Apt 202
Wauwatosa, WI 53222-3121
Phone (414) 841-5614

National Provider Directory

National Provider Directory

Locations

120 Bishops Way
Ste 165
Brookfield, WI 53005
Phone (414) 355-5525

Practitioners & 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": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1316556293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12007 W BURLEIGH ST APT 202",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532223121",
            "telephone_number": "414-841-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BISHOPS WAY STE 165",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056249",
            "telephone_number": "414-841-5614",
            "fax_number": "414-240-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "STANFORD",
        "authorized_official_first_name": "MARTAVIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-841-5614"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.