STEPHAN WHITAKER
NPI 1609522853
Custodial Care Facility - Adult Care Home in Milwaukee, WI

Q: What is Stephan Whitaker's NPI number?

The NPI number for Stephan Whitaker is 1609522853. It was assigned to this individual provider in the NPPES registry on February 25, 2022.

Q: What is Stephan Whitaker'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 Stephan Whitaker was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 25, 2022

4900 W JOLENO CT, MILWAUKEE, WI 53223(414) 975-3861 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Stephan Whitaker NPPES

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

STEPHAN WHITAKER (NPI 1609522853) is an individual adult care home provider in Milwaukee, Wisconsin, licensed in Wisconsin (0018441) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1609522853

Entity TypeIndividualMale

Primary Taxonomy311ZA0620X

Provider Legal NameSTEPHAN WHITAKER

Location Address4900 W JOLENO CTMilwaukee, WI 53223-1413

Mailing Address4900 W Joleno CtBrown Deer, WI 53223-1413 · (414) 975-3861

Phone(414) 975-3861

Sole ProprietorYes

Enumeration DateFebruary 25, 2022

NPPES CertifiedFebruary 25, 2022

✔ NPI 1609522853 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 · 0018441

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.

4900 W JOLENO CT, Milwaukee, WI 53223

Open in Google Maps ↗

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 Stephan Whitaker's NPI number?

The NPI number for Stephan Whitaker is 1609522853. It was assigned to this individual provider in the NPPES registry on February 25, 2022.

Where is Stephan Whitaker located?

Stephan Whitaker practices at 4900 W Joleno Ct, Milwaukee, WI 53223. The listed phone number is (414) 975-3861.

What is Stephan Whitaker'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 Stephan Whitaker was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.