Active NPI
New Century Home Care LLC
- In Home Supportive Care Agency
- Mequon, WI
National Provider Identifier
1922561778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100091685 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
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.