Xavier Home Healthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

100034505 Issued in WI

Legal business name

XAVIER HOME HEALTHCARE

Practice address

1661 N Water St Ste 504
Milwaukee, WI 53202-2086

Phone

(773) 441-1910

Fax

(414) 386-7913

NPI assigned

Apr 27, 2018

Last updated

Apr 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jermaine Young

Title

Ceo

Phone

(773) 441-1910

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Synergy Outreach Services

  • Case Management Agency
  • Milwaukee, WI
  • NPI 1407362106
  NPPES parent name

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1720576598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 N WATER ST STE 504",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022086",
            "telephone_number": "773-441-1910",
            "fax_number": "414-386-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 N WATER ST STE 504",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022086",
            "telephone_number": "773-441-1910",
            "fax_number": "414-386-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XAVIER HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JERMAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-441-1910",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "100034505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100034505",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary F Wyman, PH.D.
• Jacob Wynne, M.D.
• Niamh Catherine Wynne, MBBCH
• John C. Wynsen, M.D.
• Maya Wyrzykowski, DO
• Evy M Xayasone
• Liping Xie, MD
• Xiaoang Xing, PHARMACIST
• Chee Xiong
• Gaoxue Xiong

• 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 27, 2018; 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.