MEDICARE: HOUSE OF COMPASSIONATE CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1144011818
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSE OF COMPASSIONATE CARE LLC

Provider Business Mailing Address
First Line	:	7874 W PALMETTO AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53218-3750
Country	:	US
Telephone Number	:	260-580-7000
Fax Number	:	260-580-7000

Provider Business Practice Location Address
First Line	:	7874 W PALMETTO AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53218-3750
Country	:	US
Telephone Number	:	260-580-7000
Fax Number	:	260-580-7000

Authorized Official
Title or Position	:	OWNER
Name	:	CASSANDRA MILLIGAN
Credential	:	RN
Telephone Number	:	260-580-7000

Provider Enumeration Date	:	05/13/2025
Last Update Date	:	05/13/2025

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