TEAM SELFKINGDOM
NPI 1235814757
Home Health in Milwaukee, WI

Active since June 21, 2023
1930 W NASH ST, MILWAUKEE, WI 53206(312) 546-4966 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 5, 2024, Apr 10, 2024, Oct 25, 2023 and 2 more (5 updates tracked since 2023).

About Team Selfkingdom NPPES

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

TEAM SELFKINGDOM (NPI 1235814757) is a healthcare organization registered as a home health in Milwaukee, Wisconsin and active in the NPI registry since June 2023. The organization maintains a secondary practice location in Milwaukee and lists Selfkingdom Isallah, Owner, as its authorized official.

NPPES Registry Identity

NPI1235814757
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameTEAM SELFKINGDOM
Location Address1930 W NASH STMilwaukee, WI 53206-2417
Mailing Address2852 N 10th StMilwaukee, WI 53206-3224
Organization SubpartNo
Authorized OfficialSelfkingdom IsallahOwner · (414) 671-9045
Enumeration DateJune 21, 2023
Last NPPES UpdateJuly 5, 20245 updates tracked since enumeration
NPPES CertifiedJuly 5, 2024
NPI 1235814757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Also ListedHome Delivered MealsTaxonomy 332U00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
1930 W NASH ST, Milwaukee, WI 53206

Secondary Practice Location 1

Location 12852 N 10th StMilwaukee, WI 53206-3224 · Phone (312) 546-4966

Other Identifiers 1

Medicaid100244229WI

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235814757, enumerated as an "organization" on June 21, 2023.

The provider is located at 1930 W NASH ST MILWAUKEE, WI 53206 and the phone number is (312) 546-4966.

Home Health with taxonomy code 251E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.