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General NPI Number Information
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NPI Number | 1205781895
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Entity Type | Organization
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Legal Business Name | TAYLORMADE CARE LLC
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Dates
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Enumeration Date | 02/28/2026
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Last Update Date | 02/28/2026
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Provider Practice Location Address
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Address Line | 3894 N 93RD ST
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City | MILWAUKEE
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State | WI
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Zip | 53222-2508
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Country | US
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Telephone | 773-372-3378
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 51
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City | BROOKFIELD
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State | WI
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Zip | 53008-0051
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Country | US
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Telephone | 773-372-3378
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DENARD TAYLOR
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Credential |
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Telephone | 773-372-3378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 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 #4
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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