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JIMMIE C GRAYS
NPI 1750276077
Custodial Care Facility - Adult Care Home in South Milwaukee, WI

Active since June 09, 2025
2903 15TH AVE, SOUTH MILWAUKEE, WI 53172(262) 497-8448(262) 681-3118 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jimmie C Grays NPPES

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

JIMMIE C GRAYS (NPI 1750276077) is an individual adult care home provider in South Milwaukee, Wisconsin, licensed in Wisconsin (0014387) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1750276077
Entity TypeIndividualMale
Primary Taxonomy311ZA0620X
Provider Legal NameJIMMIE C GRAYS
Location Address2903 15TH AVESouth Milwaukee, WI 53172-3031
Mailing Address5221 Gallant Fox LnCaledonia, WI 53402-6100 · (262) 497-8448 · Fax (262) 497-8448
Phone(262) 497-8448
Fax(262) 681-3118
Sole ProprietorYes
Enumeration DateJune 9, 2025
NPPES CertifiedJune 9, 2025
✔ NPI 1750276077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in WI · 0014387
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.
Also ListedCustodial Care FacilityTaxonomy 311Z00000X · License 0014387 (WI)
2903 15TH AVE, South Milwaukee, WI 53172
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Other Names 1

Professional Name (2)Jimmie Grays

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 Jimmie Grays's NPI number?

The NPI number for Jimmie Grays is 1750276077. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Jimmie Grays located?

Jimmie Grays practices at 2903 15th Ave, South Milwaukee, WI 53172. The listed phone number is (262) 497-8448.

What is Jimmie Grays'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 Jimmie Grays was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.