Organization Active NPI

Hadassah Care Homes Inc.

  • Adult Care Home Facility
  • Milwaukee, WI
National Provider Identifier
1649814526
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
HADASSAH CARE HOMES INC.
Practice address
4822 N 47TH St
Milwaukee, WI 53218-4414
Phone
(414) 213-4839
NPI assigned
Nov 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Authorized official

Name
Mr. Jaylin Roundtree
Title
Owner
Phone
(414) 426-4708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

4822 N 47TH St
Milwaukee, WI 53218-4414

Mailing address

4822 N 47TH St
Milwaukee, WI 53218-4414
Phone (414) 213-4839

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1649814526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 N 47TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184414",
            "telephone_number": "414-213-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 N 47TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184414",
            "telephone_number": "414-213-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADASSAH CARE HOMES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "ROUNDTREE",
        "authorized_official_first_name": "JAYLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-426-4708",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.