MIDWEST EMINENCE CARE
NPI 1063938264
Technician - Personal Care Attendant in Brookfield, WI

Active since August 18, 2017
200 S EXECUTIVE DR STE 101, BROOKFIELD, WI 53005(262) 789-2759 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2023, Jul 21, 2022, Aug 18, 2017 (3 updates tracked since 2017).

About Midwest Eminence Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDWEST EMINENCE CARE (NPI 1063938264) is a healthcare organization registered as a personal care attendant in Brookfield, Wisconsin and active in the NPI registry since August 2017. The organization lists Crystal Avery, Administrator, as its authorized official.

NPPES Registry Identity

NPI1063938264
Entity TypeOrganization
Primary Taxonomy3747P1801X
Legal Business NameMIDWEST EMINENCE CARE, LLC
Location Address200 S EXECUTIVE DR STE 101Brookfield, WI 53005-4216
Mailing Address200 S. Executive Drive Suite 101Brookfield, WI 53005 · (262) 789-2759
Organization SubpartNo
Authorized OfficialCrystal AveryAdministrator · (262) 789-2759
Enumeration DateAugust 18, 2017
Last NPPES UpdateAugust 17, 20233 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
NPI 1063938264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
200 S EXECUTIVE DR STE 101, Brookfield, WI 53005

Other Names 1

Doing Business AsMidwest Eminence Care

Other Identifiers 1

Medicaid100069896WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dental Hygienist
200 S EXECUTIVE DR STE 101
BROOKFIELD, WI 53005
Clinical Neuropsychologist
200 S EXECUTIVE DR STE 101
BROOKFIELD, WI 53005
Home Health
200 S EXECUTIVE DR STE 101
BROOKFIELD, WI 53005
Podiatrist (Foot & Ankle Surgery)
200 S EXECUTIVE DR STE 101
BROOKFIELD, WI 53005
Dental Hygienist
200 S EXECUTIVE DR STE 101
BROOKFIELD, WI 53005
Marriage & Family Therapist
200 S EXECUTIVE DR STE 101
BROOKFIELD, WI 53005
Dental Hygienist
200 S EXECUTIVE DR STE 101
BROOKFIELD, WI 53005
Clinical Neuropsychologist
200 S EXECUTIVE DR STE 101
BROOKFIELD, WI 53005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Midwest Eminence Care, LLC's NPI number?

The NPI number for Midwest Eminence Care, LLC is 1063938264. It was assigned to this organization in the NPPES registry on August 18, 2017. The provider is doing business as Midwest Eminence Care.

Where is Midwest Eminence Care, LLC located?

Midwest Eminence Care, LLC is located at 200 S Executive Dr Ste 101, Brookfield, WI 53005. The listed phone number is (262) 789-2759.

What is Midwest Eminence Care, LLC's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Midwest Eminence Care, LLC was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.