Organization
NEW CENTURY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKK RUSSELL (OWNER)
(262) 685-8568
Entity
Organization
Contact information
Practice address
11514 N PORT WASHINGTON RD STE 110, MEQUON, WI 53092-3457
(262) 478-0732
(262) 478-0734
Mailing address
11514 N PORT WASHINGTON RD STE 110, MEQUON, WI 53092-3457
(262) 478-0732
(262) 478-0734
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091685
—
WI
Enumeration date
04/09/2019
Last updated
03/05/2026
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