Individual provider Active NPI

Kenyetta Dowthard

  • In Home Supportive Care Agency
  • Milwaukee, WI
National Provider Identifier
1720970874
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
4369 S Howell Ave Ste 103
Milwaukee, WI 53207-5082
Phone
(414) 226-6120
NPI assigned
Jul 15, 2025
Last updated
Jul 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4369 S Howell Ave Ste 103
Milwaukee, WI 53207-5082

Mailing address

4369 S Howell Ave Ste 103
Milwaukee, WI 53207-5082
Phone (414) 226-6120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ann & Dan Welcome Home CurrentSince Aug 3, 2025 Accepting new patients

Locations

4369 S Howell Ave
Ste 103
Milwaukee, WI 53207
Phone (414) 226-6120

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1720970874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4369 S HOWELL AVE STE 103",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532075082",
            "telephone_number": "414-226-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4369 S HOWELL AVE STE 103",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532075082",
            "telephone_number": "414-226-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWTHARD",
        "first_name": "KENYETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 Jul 15, 2025; 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.