MEDICARE: A PLACE WE CALL HOME

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	342000000X	Transportation Network Company
3	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1992637136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PLACE WE CALL HOME

Provider Business Mailing Address
First Line	:	5315 N 68TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53218-2902
Country	:	US
Telephone Number	:	262-997-8066
Fax Number	:

Provider Business Practice Location Address
First Line	:	5315 N 68TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53218-2902
Country	:	US
Telephone Number	:	262-997-8066
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NICOLE DAVIS
Credential	:
Telephone Number	:	262-997-8066

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “A PLACE WE CALL HOME ” Practice Location

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