Healthcare Provider Details

I. General information

NPI: 1992637136
Provider Name (Legal Business Name): A PLACE WE CALL HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5315 N 68TH ST
MILWAUKEE WI
53218-2902
US

IV. Provider business mailing address

5315 N 68TH ST
MILWAUKEE WI
53218-2902
US

V. Phone/Fax

Practice location:
  • Phone: 262-997-8066
  • Fax:
Mailing address:
  • Phone: 262-997-8066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: NICOLE DAVIS
Title or Position: OWNER
Credential:
Phone: 262-997-8066