Organization Active NPI

New Century Home Care LLC

  • In Home Supportive Care Agency
  • Mequon, WI
National Provider Identifier
1922561778
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NEW CENTURY HOME CARE LLC
Practice address
11514 N Port Washington Rd Ste 110
Mequon, WI 53092-3457
Phone
(262) 478-0732
Fax
(262) 478-0734
NPI assigned
Apr 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Nikk Russell
Title
Owner
Phone
(262) 685-8568

Specialties & licenses 1

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

Addresses

Primary practice location

11514 N Port Washington Rd Ste 110
Mequon, WI 53092-3457

Mailing address

11514 N Port Washington Rd Ste 110
Mequon, WI 53092-3457
Phone (262) 478-0732

Other identifiers 1

IdentifierTypeStateIssuer
100091685MedicaidWI

National Provider Directory

National Provider Directory

Locations

W175N11117 Stonewood Dr
Ste 206
Germantown, WI 53022

11514 N Port Washington Rd
Ste 110
Mequon, WI 53092
Phone (262) 478-0732

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1922561778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11514 N PORT WASHINGTON RD STE 110",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923457",
            "telephone_number": "262-478-0732",
            "fax_number": "262-478-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11514 N PORT WASHINGTON RD STE 110",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923457",
            "telephone_number": "262-478-0732",
            "fax_number": "262-478-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CENTURY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "NIKK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-685-8568"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100091685",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.