MEDICARE: HOUSE OF SERENITY 1

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	:	1659017416
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSE OF SERENITY 1

Provider Business Mailing Address
First Line	:	2973 N 56TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53210-1528
Country	:	US
Telephone Number	:	414-732-5160
Fax Number	:

Provider Business Practice Location Address
First Line	:	2973 N 56TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53210-1528
Country	:	US
Telephone Number	:	414-732-5160
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	TAMIKO S WILDER
Credential	:
Telephone Number	:	414-732-5160

Provider Enumeration Date	:	05/05/2022
Last Update Date	:	05/05/2022

Similar Medicare Providers

1053614982 — TAMIKO WILDER
Practice Location Address:

2973 N 56TH ST
MILWAUKEE, WI
53210-1528

Practice Phone: 414-837-3904
Practice Fax:

1033861364 — CASS TRANSPORTATION LLC
Practice Location Address:

2973 N 56TH ST
MILWAUKEE, WI
53210-1528

Practice Phone: 414-732-5160
Practice Fax:

1083918528 — THE PROVIDERS' GROUP INC
Practice Location Address:

3429 N 1ST ST
MILWAUKEE, WI
53212-1528

Practice Phone: 414-732-8636
Practice Fax:

1831465327 — MARILYN P MAXWELL LPN
Practice Location Address:

3411 N 1ST ST
MILWAUKEE, WI
53212-1528

Practice Phone: 414-698-3127
Practice Fax:

1962079541 — COMPASSIONATE PRENATAL CARE
Practice Location Address:

4177 N 47TH ST
MILWAUKEE, WI
53216-1528

Practice Phone: 262-218-2877
Practice Fax:

1215609581 — TAMIKO GRIGGS
Practice Location Address:

4135 N 47TH ST
MILWAUKEE, WI
53216-1528

Practice Phone: 414-316-7201
Practice Fax:

Directions to “HOUSE OF SERENITY 1 ” 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.