Provider Demographics
NPI:1518736610
Name:SILVER SQUARE HEIGHTS HOME CARE
Entity type:Organization
Organization Name:SILVER SQUARE HEIGHTS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-499-9270
Mailing Address - Street 1:5530 N 92ND ST APT 1
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53225-3461
Mailing Address - Country:US
Mailing Address - Phone:414-499-9270
Mailing Address - Fax:888-864-2725
Practice Address - Street 1:5530 N 92ND ST APT 1
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53225-3461
Practice Address - Country:US
Practice Address - Phone:414-499-9270
Practice Address - Fax:888-864-2725
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEIGHTS CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living FacilityGroup - Multi-Specialty
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty