Marcia Ann Maxwell

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Practice address

5057 N 19TH St
Milwaukee, WI 53209-5762

Phone

(414) 716-5971

Fax

(414) 716-5109

NPI assigned

Aug 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marcia Family Home LLC

  • Assisted Living Facility
  • Milwaukee, WI
  • NPI 1316870819
  NPD Authorized official
• Mjay Supportive Care Agency LLC

  • Home Health Agency
  • Milwaukee, WI
  • NPI 1669356846
  NPD Authorized official
• A Sincere Family Home

  • Adult Care Home Facility
  • Milwaukee, WI
  • NPI 1275190035
  NPD (past) Authorized official

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1720569858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5057 N 19TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095762",
            "telephone_number": "414-716-5971",
            "fax_number": "414-716-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5057 N 19TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095762",
            "telephone_number": "414-716-5971",
            "fax_number": "414-716-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "MARCIA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "323472-31",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn L Maxa, D.O
• Tenisha Danielle Maxey
• Maximo L. Cueto Jr. M.D.S.C.
• Beatrice Maxwell-Henry, SAC-IT
• Andrea Maxwell, M.D.
• Marilyn P Maxwell, LPN
• Tabitha Maxwell
• Adam Richard May, DPT
• Alyssa May
• Amy L May, APNP

• All providers in Milwaukee, WI
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.