Jefferson Home Healthcare Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

JEFFERSON HOME HEALTHCARE SERVICES LLC

Practice address

4508 W Burleigh St
Milwaukee, WI 53210-1723

Phone

(414) 759-6525

NPI assigned

Nov 16, 2022

Organization subpart

No

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

Authorized official

Name

Payrris B Bealin-Jefferson

Title

Owner

Phone

(414) 759-6525

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1457060626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7028 W SANDPIPER CT",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532232753",
            "telephone_number": "414-759-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 W BURLEIGH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101723",
            "telephone_number": "414-759-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON HOME HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "BEALIN-JEFFERSON",
        "authorized_official_first_name": "PAYRRIS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-759-6525"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeans New Creation Personal Care Agency
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• Jeff Yuan, MD SC
• Juliana Jeffers, APNP
• Jefferson Crest LLC
• Jefferson N Calimlim MD SC
• Alexis Simone Jefferson, RN
• Ginger Loren Jefferson, LPN
• Marissa Lee Jefferson, APNP
• Porsha Jefferson

• In Home Supportive Care Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• In Home Supportive Care Agency in Wisconsin

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