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General NPI Number Information
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NPI Number | 1033040100
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Entity Type | Organization
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Legal Business Name | CARING ANGELS SUPPORTIVE CARE LLC
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Dates
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Enumeration Date | 05/27/2026
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Last Update Date | 05/27/2026
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Provider Practice Location Address
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Address Line | 4718 N 40TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53209-5812
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Country | US
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Telephone | 414-940-0245
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Fax |
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Provider Business Mailing Address
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Address Line | 4718 N 40TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53209-5812
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Country | US
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Telephone | 414-940-0245
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Fax |
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Authorized Official
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Title or Position | LPN
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Name | MS. MARQUITA CLAY
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Credential | NURSE
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Telephone | 414-940-0245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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