Supportive Personal Care Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUPPORTIVE PERSONAL CARE SERVICES

Practice address

2025 N Summit Ave Ste 103
Milwaukee, WI 53202-1362

Phone

(414) 365-9108

Fax

(414) 355-5585

NPI assigned

Sep 25, 2013

Organization subpart

No

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

Authorized official

Name

Wanda Staples

Title

Owner

Phone

(414) 365-9108

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1568898260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 N SUMMIT AVE STE 103",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021362",
            "telephone_number": "414-365-9108",
            "fax_number": "414-369-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 N SUMMIT AVE STE 103",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021362",
            "telephone_number": "414-365-9108",
            "fax_number": "414-355-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE PERSONAL CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "STAPLES",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-365-9108"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100028490",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Support Care LLC
• Supportive Angels
• Supportive Care Family Home LLC
• Supportive Living Home Health Care
• Supportive Living Home Health Care
• Supreme Home Care
• Sure Care Assisted Living
• Mary E Surges, OT
• Surgicenter of Greater Milwaukee, LLC
• Jerry Michael Suriano, D.O.

• Home Health Agency in Milwaukee, WI
• Providers in Milwaukee, 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 Apr 9, 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.