Parkers Manor of Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

PARKERS MANOR OF CARE

Practice address

4307 N 69TH St
Milwaukee, WI 53216-1126

Phone

(414) 210-2308

Fax

(414) 455-3777

NPI assigned

Dec 5, 2023

Last updated

Dec 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Makalia Parker

Title

Owner

Phone

(414) 202-0378

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1942077433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 W CAPITOL DR STE 107",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162056",
            "telephone_number": "414-210-2308",
            "fax_number": "414-455-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 N 69TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161126",
            "telephone_number": "414-210-2308",
            "fax_number": "414-455-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKERS MANOR OF CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "MAKALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-202-0378"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Royce Parker
• Kayla Parker, MS, CCC-SLP
• Keonia Parker
• Naomi Parker
• Shelia Denise Parker
• Parkers Manor of Care Health Services
• John Thomas Parkhurst, PHD
• Bryan Edward Parkinson, PA-C
• Erin L Parkinson, CNM
• Parkland Clinic-Muni H Patel MD SC

• Adult Care Home Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Adult Care Home Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.