Healthcare Provider Details

I. General information

NPI: 1437062668
Provider Name (Legal Business Name): SILVER SQUARE HEIGHTS HOME CARE UNIT II
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 N JEFFERSON ST STE 408-1501
MILWAUKEE WI
53202-3713
US

IV. Provider business mailing address

23144 CINCO RANCH BLVD STE B1143
KATY TX
77494-2894
US

V. Phone/Fax

Practice location:
  • Phone: 414-388-4542
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: NEQUILIA EARNEST
Title or Position: CEO/PRESIDENT
Credential:
Phone: 414-388-4542