MEDICARE: GIFTED CARE ADULT FAMILY HOME

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	251E00000X	Home Health Agency
2	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1326988577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GIFTED CARE ADULT FAMILY HOME

Provider Business Mailing Address
First Line	:	790 N MILWAUKEE ST STE 302
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-4073
Country	:	US
Telephone Number	:	414-248-5133
Fax Number	:

Provider Business Practice Location Address
First Line	:	10328 W VILLA AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53224-2655
Country	:	US
Telephone Number	:	414-446-4306
Fax Number	:	414-446-4306

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MR. JAMES ANDREW HEGWOOD JR.
Credential	:
Telephone Number	:	414-248-5133

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	05/18/2026

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Directions to “GIFTED CARE ADULT FAMILY HOME ” Practice Location

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