Healthcare Provider Details

I. General information

NPI: 1558239475
Provider Name (Legal Business Name): MAJOR QUALITY CARE PERSONNEL CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501A N HOLTON ST
MILWAUKEE WI
53212-2926
US

IV. Provider business mailing address

2501A N HOLTON ST
MILWAUKEE WI
53212-2926
US

V. Phone/Fax

Practice location:
  • Phone: 414-336-1740
  • Fax: 414-240-1392
Mailing address:
  • Phone: 414-336-1740
  • Fax: 414-240-1392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SHENICQUA BILLINGS-TROUPE
Title or Position: DIRECTOR
Credential:
Phone: 414-336-1740