Organization Active NPI

Enchanted Hearts Home Care

  • In Home Supportive Care Agency
  • Milwaukee, WI
National Provider Identifier
1912719196
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ENCHANTED HEARTS HOME CARE
Practice address
11414 W Park PL
Milwaukee, WI 53224-3500
Phone
(414) 296-8008
Fax
(414) 296-0107
NPI assigned
Jan 23, 2025
Last updated
Jan 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Shawndra Taylor
Title
Owner
Phone
(317) 373-8464

Specialties & licenses 1

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

Addresses

Primary practice location

11414 W Park PL
Milwaukee, WI 53224-3500

Mailing address

7464 Merrick Dr
Brownsburg, IN 46112-5636
Phone (317) 373-8464

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1912719196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7464 MERRICK DR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461125636",
            "telephone_number": "317-373-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11414 W PARK PL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532243500",
            "telephone_number": "414-296-8008",
            "fax_number": "414-296-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCHANTED HEARTS HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SHAWNDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-373-8464"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "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 Jan 23, 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.