MEDICARE: MAJOR QUALITY CARE III LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	310400000X	Assisted Living Facility
2	385H00000X	Respite Care
3	3104A0630X	Assisted Living Facility (Behavioral Disturbances)
4	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1639047558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAJOR QUALITY CARE III LLC

Provider Business Mailing Address
First Line	:	2501A N HOLTON ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53212-2926
Country	:	US
Telephone Number	:	414-336-1740
Fax Number	:	414-240-1392

Provider Business Practice Location Address
First Line	:	3046 N 11TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53206-2745
Country	:	US
Telephone Number	:	414-336-1740
Fax Number	:	414-240-1392

Authorized Official
Title or Position	:	OWNER
Name	:	SHENICQUA M BILLINGS-TROUPE
Credential	:
Telephone Number	:	414-336-1740

Provider Enumeration Date	:	10/23/2025
Last Update Date	:	10/23/2025

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