NPI 1609541812 · live from the CMS NPI Registry
Irize Home Health Care, LLC
Custodial Care Facility, Adult Care Home in Milwaukee, WI. National Provider Identifier 1609541812, active.
NPI record
| NPI | 1609541812 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Custodial Care Facility, Adult Care Home 311ZA0620X |
| Practice location | 2114 N 38th St, Milwaukee, WI 53208 |
| Practice phone | 414-520-9800 |
| Mailing address | 333 W Brown Deer Rd Ste G316, Milwaukee, WI 53217 |
| Enumerated | August 10, 2021 |
| Last updated | March 5, 2024 |
| Authorized official | Queen Maya-Sati Earth, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Adult Mental Health | 261QM0850X | — |
| Assisted Living Facility, Assisted Living, Mental Illness | 3104A0625X | — |
| Clinic/Center, Developmental Disabilities | 261QD1600X | — |
| Assisted Living Facility, Assisted Living, Behavioral Disturbances | 3104A0630X | — |
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320600000X | — |
| Intermediate Care Facility, Mental Illness | 310500000X | — |
| Community Based Residential Treatment Facility, Mental Illness | 320800000X | — |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320900000X | — |
| Nursing Facility/Intermediate Care Facility | 313M00000X | — |
| Clinic/Center, Adult Day Care | 261QA0600X | — |
| Home Health | 251E00000X | — |
| Hospice Care, Community Based | 251G00000X | — |
| Community/Behavioral Health | 251S00000X | — |
| In Home Supportive Care | 253Z00000X | — |
| Custodial Care Facility, Adult Care Home primary | 311ZA0620X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.