Provider Demographics
| NPI: | 1932962487 |
|---|---|
| Name: | FLOOR23 CARE LLC |
| Entity type: | Organization |
| Organization Name: | FLOOR23 CARE LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | AUTHORIZED REP. |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | CANDACE |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | SPEARS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 262-202-1221 |
| Mailing Address - Street 1: | 2235 SHERMAN PARC CT |
| Mailing Address - Street 2: | |
| Mailing Address - City: | JACKSON |
| Mailing Address - State: | WI |
| Mailing Address - Zip Code: | 53037-8953 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 262-202-1221 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 5308 N 49TH ST |
| Practice Address - Street 2: | |
| Practice Address - City: | MILWAUKEE |
| Practice Address - State: | WI |
| Practice Address - Zip Code: | 53218-3403 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 262-202-1221 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2024-02-06 |
| Last Update Date: | 2025-10-29 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| No | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| No | 253Z00000X | Agencies | In Home Supportive Care | |
| No | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | |
| No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child |
| No | 251S00000X | Agencies | Community/Behavioral Health | |
| No | 276400000X | Hospital Units | Rehabilitation, Substance Use Disorder Unit | |
| No | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | |
| No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | |
| No | 315P00000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Intellectual Disabilities |
