Healthcare Provider Details

I. General information

NPI: 1396656294
Provider Name (Legal Business Name): HELDA'S CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8624A S MARKET PL
OAK CREEK WI
53154-3524
US

IV. Provider business mailing address

8624A S MARKET PL
OAK CREEK WI
53154-3524
US

V. Phone/Fax

Practice location:
  • Phone: 414-430-9256
  • Fax:
Mailing address:
  • Phone: 414-430-9256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: SUELA GINA
Title or Position: OWNER, PRESIDENT, ADMIN
Credential:
Phone: 414-430-9256