MEDICARE: QUALITY LIVING HOME HEALTH CARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	385H00000X	Respite Care
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1922955608
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY LIVING HOME HEALTH CARE

Provider Business Mailing Address
First Line	:	4117 N GREEN BAY AVE STE 3
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-7019
Country	:	US
Telephone Number	:	414-232-4886
Fax Number	:	414-433-5780

Provider Business Practice Location Address
First Line	:	4117 N GREEN BAY AVE STE 3
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-7019
Country	:	US
Telephone Number	:	414-232-4886
Fax Number	:	414-433-5780

Authorized Official
Title or Position	:	OWNER
Name	:	IEAISHA TATE BRANDIS TATE
Credential	:
Telephone Number	:	414-232-4886

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/13/2026

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Directions to “QUALITY LIVING HOME HEALTH CARE ” Practice Location

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