PARKERS MANOR OF CARE
NPI 1942077433
Custodial Care Facility - Adult Care Home in Milwaukee, WI

Active since December 05, 2023
4307 N 69TH ST, MILWAUKEE, WI 53216(414) 210-2308(414) 455-3777 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Custodial Care Facility
  • Adult Care Home

About PARKERS MANOR OF CARE

This page provides the complete NPI Profile along with additional information for Parkers Manor Of Care, a provider established in Milwaukee, Wisconsin operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1942077433 assigned on December 2023. The practitioner's primary taxonomy code is 311ZA0620X. 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 Makalia Parker (Owner)

NPI
1942077433 Verify this NPI
Provider Name
PARKERS MANOR OF CARE
Entity Type
Organization
Location Address
4307 N 69TH ST MILWAUKEE, WI 53216
Location Phone
(414) 210-2308
Location Fax
(414) 455-3777
Mailing Address
6815 W CAPITOL DR STE 107 MILWAUKEE, WI 53216
Mailing Phone
(414) 210-2308
Mailing Fax
(414) 455-3777
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-05-2023
Last Update Date
12-05-2023
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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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

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)
1320900000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

 
2385H00000XRespite 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

MAKALIA PARKER

Authorized Official Title
OWNER
Authorized Official Phone
(414) 202-0378

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942077433, enumerated as an "organization" on December 05, 2023.

The provider is located at 4307 N 69TH ST MILWAUKEE, WI 53216 and the phone number is (414) 210-2308.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.