SUPPORTIVE CARE FAMILY HOME LLC
NPI 1568038446
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities in Milwaukee, WI

Active since June 01, 2021
4934 N 73RD ST, MILWAUKEE, WI 53218(414) 252-8442 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 9, 2023, Jun 1, 2021 (2 updates tracked since 2021).

  • Organization
  • Respite Care
  • Respite Care, Intellectual and/or Develo...

About SUPPORTIVE CARE FAMILY HOME LLC

This page provides the complete NPI Profile along with additional information for Supportive Care Family Home Llc, a provider established in Milwaukee, Wisconsin operating as a Respite Care, focusing in respite care, intellectual and/or developmental disabilities . The healthcare provider is registered in the NPI registry with number 1568038446 assigned on June 2021. The practitioner's primary taxonomy code is 385HR2060X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Tiffany Dabney (Owner)

NPI
1568038446 Verify this NPI
Provider Name
SUPPORTIVE CARE FAMILY HOME LLC
Entity Type
Organization
Location Address
4934 N 73RD ST MILWAUKEE, WI 53218
Location Phone
(414) 252-8442
Mailing Address
4934 N 73RD ST MILWAUKEE, WI 53218
Mailing Phone
(414) 252-8442
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-01-2021
Last Update Date
08-09-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Respite Care Respite Care, Intellectual and/or Developmental Disabilities

Taxonomy Code
385HR2060X
Type
Respite Care Facility
Taxonomy Description
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1385H00000XRespite Care Facility

Respite Care

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TIFFANY DABNEY

Authorized Official Title
OWNER
Authorized Official Phone
(414) 252-8442

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568038446, enumerated as an "organization" on June 01, 2021.

The provider is located at 4934 N 73RD ST MILWAUKEE, WI 53218 and the phone number is (414) 252-8442.

Respite Care with taxonomy code 385HR2060X and a focus in Respite Care, Intellectual and/or Developmental Disabilities.