Healthcare Provider Details

I. General information

NPI: 1043131659
Provider Name (Legal Business Name): COMMITTED TO CARING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1108 SHORECREST DR
RACINE WI
53402-3345
US

IV. Provider business mailing address

1108 SHORECREST DR
RACINE WI
53402-3345
US

V. Phone/Fax

Practice location:
  • Phone: 414-446-1249
  • Fax:
Mailing address:
  • Phone: 414-446-1249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. EBONY KEYES
Title or Position: OWNER
Credential:
Phone: 414-446-1249