MEDICARE: LIVING GENTLE CARES 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	385H00000X	Respite Care

General Provider Information

NPI Number	:	1669315925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVING GENTLE CARES LLC

Provider Business Mailing Address
First Line	:	6521 N 42ND ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-3008
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6521 N 42ND ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-3008
Country	:	US
Telephone Number	:	414-949-1680
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ARIAN JACKSON
Credential	:	RN
Telephone Number	:	414-949-1680

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “LIVING GENTLE CARES LLC ” Practice Location

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