MEDICARE: INNOVATIVE HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1205772266
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNOVATIVE HOME CARE LLC

Provider Business Mailing Address
First Line	:	4199 N 21ST ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-6702
Country	:	US
Telephone Number	:	414-803-8186
Fax Number	:

Provider Business Practice Location Address
First Line	:	4199 N 21ST ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-6702
Country	:	US
Telephone Number	:	414-803-8186
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DENISE CUNNINGHAM
Credential	:
Telephone Number	:	414-803-8186

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/23/2026

Similar Medicare Providers

1285579292 — JAMARA BOYD-WILEY
Practice Location Address:

6111 N TEUTONIA AVE
MILWAUKEE, WI
53209-3646

Practice Phone: 262-899-9245
Practice Fax:

1669315925 — LIVING GENTLE CARES LLC
Practice Location Address:

6521 N 42ND ST
MILWAUKEE, WI
53209-3008

Practice Phone: 414-949-1680
Practice Fax:

1003774613 — KAYLE MCNAMARA NP
Practice Location Address:

3003 W GOOD HOPE RD
MILWAUKEE, WI
53209-2042

Practice Phone: 414-352-3100
Practice Fax:

1356285712 — DIVINE CARE NURSING SERVICES LLC
Practice Location Address:

6100 N 42ND ST STE 208
MILWAUKEE, WI
53209-3560

Practice Phone: 414-361-2363
Practice Fax: 414-361-2447

1730023953 — AIRENIA ELIZABETH BATTISTE
Practice Location Address:

4909 N 25TH ST
MILWAUKEE, WI
53209-5618

Practice Phone: 414-207-2429
Practice Fax:

1093656662 — ALLISON U PICKENS
Practice Location Address:

6957 N TEUTONIA AVE APT 4
MILWAUKEE, WI
53209-2522

Practice Phone: 414-659-5684
Practice Fax:

Directions to “INNOVATIVE HOME CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.