SUPPORTIVE CARE FAMILY HOME LLC; NPI #1568038446

Contact Information

SUPPORTIVE CARE FAMILY HOME LLC

4934 N 73RD ST
MILWAUKEE, WI 53218-3815

Phone: 414-252-8442
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Respite Care, Intellectual and/or Developmental Disabilities	385HR2060X
Respite Care	385H00000X

Indicates primary specialty

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NPI Profile & details for SUPPORTIVE CARE FAMILY HOME LLC

NPI Number	`1568038446`
LBN Legal business name	SUPPORTIVE CARE FAMILY HOME LLC
Authorized official	TIFFANY DABNEY - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/01/2021
Last updated	08/09/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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