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NPI 1639047558

NPI 1639047558 : MAJOR QUALITY CARE III LLC : MILWAUKEE, WI

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General NPI Number Information
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    NPI Number           |    1639047558
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    Entity Type          |    Organization 
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    Legal Business Name  |    MAJOR QUALITY CARE III LLC 
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Dates
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    Enumeration Date     |    10/23/2025
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    Last Update Date     |    10/23/2025
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Provider Practice Location Address
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    Address Line         |    3046 N 11TH ST 
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    City                 |    MILWAUKEE
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    State                |    WI
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    Zip                  |    53206-2745
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    Country              |    US
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    Telephone            |    414-336-1740
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    Fax                  |    414-240-1392
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Provider Business Mailing Address
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    Address Line         |    2501A N HOLTON ST 
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    City                 |    MILWAUKEE
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    State                |    WI
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    Zip                  |    53212-2926
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    Country              |    US
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    Telephone            |    414-336-1740
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    Fax                  |    414-240-1392
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SHENICQUA M BILLINGS-TROUPE 
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    Credential           |    
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    Telephone            |    414-336-1740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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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        |    3104A0630X
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    Taxonomy Name        |    Assisted Living Facility (Behavioral Disturbances)
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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        |    311ZA0620X
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    Taxonomy Name        |    Adult Care Home Facility
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    License Number       |    
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    License Number State |    
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