Mi Casa Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MI CASA CARE

Practice address

5630 S New Berlin Rd
Hales Corners, WI 53130-1754

Phone

(414) 209-2049

NPI assigned

May 1, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqueline Enid Poulakos

Title

Owner

Phone

(414) 209-2049

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1386089688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5630 S NEW BERLIN RD",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301754",
            "telephone_number": "414-209-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 S NEW BERLIN RD",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301754",
            "telephone_number": "414-209-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI CASA CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "POULAKOS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "ENID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-209-2049",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Hales Corners, WI
• Providers in Hales Corners, 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 May 1, 2013; 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.