Active NPI
Edens Pointe Home Care Inc
- In Home Supportive Care Agency
- Milwaukee, WI
National Provider Identifier
1689123440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- EDENS POINTE HOME CARE INC
- Practice address
- 1839 N Dr Martin Luther King Dr
Milwaukee, WI 53212-3673 - Phone
- (414) 316-3750
- NPI assigned
- Sep 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kamyia Leflore
- Title
- President/Administrator
- Phone
- (414) 316-3750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | WI | Primary |
Addresses
Primary practice location
1839 N Dr Martin Luther King Dr
Milwaukee, WI 53212-3673
Mailing address
1839 N Dr Martin Luther King Dr
Milwaukee, WI 53212-3673
Phone (414) 316-3750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100048198 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
1839 N Dr Martin Luther King Dr
Milwaukee, WI 53212
Phone (414) 316-3750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474502400000",
"number": "1689123440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839 N DR MARTIN LUTHER KING DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532123673",
"telephone_number": "414-316-3750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1839 N DR MARTIN LUTHER KING DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532123673",
"telephone_number": "414-316-3750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDENS POINTE HOME CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-22",
"last_updated": "2016-09-22",
"status": "A",
"authorized_official_last_name": "LEFLORE",
"authorized_official_first_name": "KAMYIA",
"authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
"authorized_official_telephone_number": "414-316-3750",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100048198",
"state": "WI"
}
],
"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 Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.