Jefferson Crest LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

JEFFERSON CREST LLC

Practice address

126 W Mineral St
Milwaukee, WI 53204-1844

Phone

(414) 270-1970

Fax

(414) 270-1971

NPI assigned

Jan 12, 2017

Last updated

Jan 12, 2017By 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

Daniel E Taylor

Title

Ceo/President

Phone

(414) 688-7272

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1528504602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 W MINERAL ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532041844",
            "telephone_number": "414-270-1970",
            "fax_number": "414-270-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W MINERAL ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532041844",
            "telephone_number": "414-270-1970",
            "fax_number": "414-270-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON CREST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "414-688-7272"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl A Jeanpierre, D.O.
• Jeans New Creation Personal Care Agency
• Wajiha Jeelani, MBBS
• Jeff Yuan, MD SC
• Juliana Jeffers, APNP
• Jefferson Home Healthcare Services LLC
• Jefferson N Calimlim MD SC
• Alexis Simone Jefferson, RN
• Ginger Loren Jefferson, LPN
• Marissa Lee Jefferson, APNP

• 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 Jan 12, 2017; 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.