Healthcare Provider Details

I. General information

NPI: 1437028768
Provider Name (Legal Business Name): ESSENCE OF TRUTH SHPC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1037 W MCKINLEY AVE
MILWAUKEE WI
53205-2530
US

IV. Provider business mailing address

1037 W MCKINLEY AVE
MILWAUKEE WI
53205-2530
US

V. Phone/Fax

Practice location:
  • Phone: 414-604-6765
  • Fax:
Mailing address:
  • Phone: 414-604-6765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. LATRINA KINGSBY
Title or Position: MANAGER
Credential: RN
Phone: 414-604-6765