MEDICARE: SEDARE HOME 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1639623226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEDARE HOME CARE LLC

Provider Business Mailing Address
First Line	:	3383 N FIVE MILE RD # 168
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83713-3925
Country	:	US
Telephone Number	:	414-206-2090
Fax Number	:

Provider Business Practice Location Address
First Line	:	10335 W OKLAHOMA AVE STE 204
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53227-4100
Country	:	US
Telephone Number	:	414-206-2090
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	JAKE RANKIN
Credential	:	CSA
Telephone Number	:	414-206-2090

Provider Enumeration Date	:	08/11/2016
Last Update Date	:	10/12/2021

Similar Medicare Providers

1427011832 — BERNARD TODD PRATTE PT
Practice Location Address:

10335 W OKLAHOMA AVE , 202
MILWAUKEE, WI
53227-4100

Practice Phone: 414-545-2561
Practice Fax: 414-545-2561

1750684643 — DR. LINSAY JAYMIE WAY D.C.
Practice Location Address:

10335 W OKLAHOMA AVE , SUITE 202
MILWAUKEE, WI
53227-4100

Practice Phone: 262-384-0064
Practice Fax:

1437494929 — WELLNESS WAY CHIROPRACTIC
Practice Location Address:

10335 W OKLAHOMA AVE , SUITE 202
MILWAUKEE, WI
53227-4100

Practice Phone: 262-384-0064
Practice Fax:

1962274282 — GROWING GRACEFULLY LLC
Practice Location Address:

10335 W OKLAHOMA AVE STE 110
MILWAUKEE, WI
53227-4100

Practice Phone: 833-217-7907
Practice Fax:

1962732842 — R&K SUPPORT SERVICES, INC.
Practice Location Address:

10335 W OKLAHOMA AVE STE 202
WEST ALLIS, WI
53227-4100

Practice Phone: 414-377-8125
Practice Fax: 414-377-8149

1427049279 — COMMUNITY FOOT AND ANKLE CLINIC, INC.
Practice Location Address:

4100 S HOWELL AVE
MILWAUKEE, WI
53207-4410

Practice Phone: 414-483-5566
Practice Fax:

Directions to “SEDARE HOME CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.