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JUVONTA LEACH
NPI 1740026426
Custodial Care Facility - Adult Care Home in Milwaukee, WI

Active since July 02, 2024
6125 N 39TH ST, MILWAUKEE, WI 53209(262) 281-0216(855) 810-4227 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Juvonta Leach NPPES

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

JUVONTA LEACH (NPI 1740026426) is an individual adult care home provider in Milwaukee, Wisconsin, licensed in Wisconsin (0019557) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1740026426
Entity TypeIndividualMale
Primary Taxonomy311ZA0620X
Provider Legal NameJUVONTA LEACH
Location Address6125 N 39TH STMilwaukee, WI 53209-3509
Mailing Address6125 N 39th StMilwaukee, WI 53209-3509 · (262) 281-0216 · Fax (855) 810-4227
Phone(262) 281-0216
Fax(855) 810-4227
Sole ProprietorYes
Enumeration DateJuly 2, 2024
NPPES CertifiedJuly 2, 2024
✔ NPI 1740026426 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 · 0019557
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.
6125 N 39TH ST, Milwaukee, WI 53209
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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 Juvonta Leach's NPI number?

The NPI number for Juvonta Leach is 1740026426. It was assigned to this individual provider in the NPPES registry on July 2, 2024.

Where is Juvonta Leach located?

Juvonta Leach practices at 6125 N 39th St, Milwaukee, WI 53209. The listed phone number is (262) 281-0216.

What is Juvonta Leach'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 Juvonta Leach was last updated on July 2, 2024. 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.