Healthcare Provider Details

I. General information

NPI: 1609739796
Provider Name (Legal Business Name): RAISING OUR VILLAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5235 N 53RD ST
MILWAUKEE WI
53218-3318
US

IV. Provider business mailing address

5235 N 53RD ST
MILWAUKEE WI
53218-3318
US

V. Phone/Fax

Practice location:
  • Phone: 414-731-5052
  • Fax:
Mailing address:
  • Phone: 414-731-5052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: SEQUANNA TAYLOR
Title or Position: CEO AND FOUNDER
Credential:
Phone: 414-731-5052