Healthcare Provider Details

I. General information

NPI: 1124950670
Provider Name (Legal Business Name): BEE HUMBLE HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2128 N 16TH ST
MILWAUKEE WI
53205-1214
US

IV. Provider business mailing address

2128 N 16TH ST
MILWAUKEE WI
53205-1214
US

V. Phone/Fax

Practice location:
  • Phone: 414-882-0714
  • Fax:
Mailing address:
  • Phone: 414-882-0714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHAWANNA STANLEY
Title or Position: OWNER
Credential: NA
Phone: 414-882-0714