Healthcare Provider Details

I. General information

NPI: 1417865551
Provider Name (Legal Business Name): CARE GENTLE 700
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6815 W CAPITOL DR STE 112
MILWAUKEE WI
53216-2056
US

IV. Provider business mailing address

6815 W CAPITOL DR STE 112
MILWAUKEE WI
53216-2056
US

V. Phone/Fax

Practice location:
  • Phone: 262-923-2233
  • Fax: 262-923-2224
Mailing address:
  • Phone: 262-923-2233
  • Fax: 262-923-2224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA L CARTER
Title or Position: CEO
Credential:
Phone: 262-923-2233