Organization Active NPI

Crestmont Private Care

  • In Home Supportive Care Agency
  • Greenfield, WI
National Provider Identifier
1912844416
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CRESTMONT PRIVATE CARE
Practice address
3946 S Tara Hill Dr
Greenfield, WI 53220-2520
Phone
(414) 458-5910
NPI assigned
May 1, 2026
Last updated
May 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Marteonna Bean
Title
Ceo
Phone
(414) 458-5910

Specialties & licenses 1

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

Addresses

Primary practice location

3946 S Tara Hill Dr
Greenfield, WI 53220-2520

Mailing address

3946 S Tara Hill Dr
Greenfield, WI 53220-2520
Phone (414) 395-0511

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1912844416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3946 S TARA HILL DR",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532202520",
            "telephone_number": "414-395-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3946 S TARA HILL DR",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532202520",
            "telephone_number": "414-458-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTMONT PRIVATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-01",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "MARTEONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-458-5910"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.