Healthcare Provider Details

I. General information

NPI: 1013732007
Provider Name (Legal Business Name): CARING COMPANIONS ADULT FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2024
Last Update Date: 11/15/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9220 W SILVER SPRING DRIVE
MILWAUKEE WI
53225
US

IV. Provider business mailing address

9220 W SILVER SPRING DRIVE
MILWAUKEE WI
53225
US

V. Phone/Fax

Practice location:
  • Phone: 414-391-5247
  • Fax:
Mailing address:
  • Phone: 414-391-5247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: VERONDA JACKSON
Title or Position: OWNER/OPERATOR
Credential:
Phone: 414-391-5247