Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAVEN M HUBBERT
NPI 1336810217
Custodial Care Facility - Adult Care Home in Milwaukee, WI

Q: What is Raven Hubbert's NPI number?

The NPI number for Raven Hubbert is 1336810217. It was assigned to this individual provider in the NPPES registry on September 21, 2021.

Q: What is Raven Hubbert's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Q: When was this NPI record last updated?

The NPPES record for Raven Hubbert was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.

Active since September 21, 2021

2902 W ROOSEVELT DR, MILWAUKEE, WI 53216(414) 982-8107 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Raven M Hubbert NPPES

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

RAVEN M HUBBERT (NPI 1336810217) is an individual adult care home provider in Milwaukee, Wisconsin, licensed in Wisconsin (0021059) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1336810217

Entity TypeIndividualFemale

Primary Taxonomy311ZA0620X

Provider Legal NameRAVEN M HUBBERT

Location Address2902 W ROOSEVELT DRMilwaukee, WI 53216-1838

Mailing Address2902 W Roosevelt DrMilwaukee, WI 53216-1838 · (414) 982-8107

Phone(414) 982-8107

Sole ProprietorYes

Enumeration DateSeptember 21, 2021

Last NPPES UpdateJune 17, 2026

NPPES CertifiedJune 17, 2026

✔ NPI 1336810217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in WI · 0021059

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

2902 W ROOSEVELT DR, Milwaukee, WI 53216

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Other Identifiers 1

Medicaid100393125WI

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 Raven Hubbert's NPI number?

The NPI number for Raven Hubbert is 1336810217. It was assigned to this individual provider in the NPPES registry on September 21, 2021.

Where is Raven Hubbert located?

Raven Hubbert practices at 2902 W Roosevelt Dr, Milwaukee, WI 53216. The listed phone number is (414) 982-8107.

What is Raven Hubbert's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Raven Hubbert was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.