Healthcare Provider Details

I. General information

NPI: 1730048000
Provider Name (Legal Business Name): FAMILY FIRST WI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2026
Last Update Date: 01/21/2026
Certification Date: 01/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2703 N DR MLK JR DRIVE 2703 N DR MLK JR DRIVE
MILWAUKEE WI
26222-9989
US

IV. Provider business mailing address

2703 N DR MLK JR DRIVE 2703 N DR MLK JR DRIVE
MILWAUKEE WI
26222-9989
US

V. Phone/Fax

Practice location:
  • Phone: 262-229-9895
  • Fax: 262-229-9895
Mailing address:
  • Phone: 262-229-9895
  • Fax: 262-229-9895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: RASHEEKA STEWART
Title or Position: MANAGER
Credential:
Phone: 262-229-9895