Organization Active NPI

Byrd'S Personal Care Agency

  • In Home Supportive Care Agency
  • Milwaukee, WI
National Provider Identifier
1942579222
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
325126 Issued in WI
Legal business name
BYRD'S PERSONAL CARE AGENCY
Practice address
6233 W Boehlke Ave
Milwaukee, WI 53223-5410
Phone
(414) 517-5990
Fax
(414) 236-5314
NPI assigned
Dec 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Authorized official

Name
Ms. Gertrude Byrd, CNA/ IN HOME SUPPORT
Title
Owner
Phone
(414) 517-5990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 325126 WI Primary

Addresses

Primary practice location

6233 W Boehlke Ave
Milwaukee, WI 53223-5410

Mailing address

6233 W Boehlke Ave
Milwaukee, WI 53223-5410
Phone (414) 517-5990

Other names 1

  • Byrd's personal care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1942579222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 W BOEHLKE AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532235410",
            "telephone_number": "414-517-5990",
            "fax_number": "414-236-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6233 W BOEHLKE AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532235410",
            "telephone_number": "414-517-5990",
            "fax_number": "414-236-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRD'S PERSONAL CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "GERTRUDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-517-5990",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNA/ IN HOME SUPPORT"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WI",
            "license": "325126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Byrd's personal care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 28, 2011; 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.