Organization Active NPI

Edens Pointe Home Care Inc

  • In Home Supportive Care Agency
  • Milwaukee, WI
National Provider Identifier
1689123440
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Sep 22, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100048198MedicaidWI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.