JIMMIE C GRAYS
NPI 1750276077
Custodial Care Facility - Adult Care Home in South Milwaukee, WI
NPI Status: Active since June 09, 2025
Contact Information
2903 15TH AVE
SOUTH MILWAUKEE, WI
ZIP 53172
Phone: (262) 497-8448
Fax: (262) 681-3118
- Individual
- Male
- Custodial Care Facility
- Adult Care Home
About JIMMIE GRAYS
This page provides the complete NPI Profile along with additional information for Jimmie Grays, a provider established in South Milwaukee, Wisconsin with a medical specialization in Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1750276077 assigned on June 2025. The practitioner's primary taxonomy code is 311ZA0620X with license number 0014387 (WI). The provider is registered as an individual and his NPI record was last updated June 2025.
- NPI
- 1750276077
- Provider Name
- JIMMIE C GRAYS
- Other Name
- JIMMIE GRAYS
- Other Name Type
- Professional Name (2)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2903 15TH AVE SOUTH MILWAUKEE, WI 53172
- Location Phone
- (262) 497-8448
- Location Fax
- (262) 681-3118
- Mailing Address
- 5221 GALLANT FOX LN CALEDONIA, WI 53402
- Mailing Phone
- (262) 497-8448
- Mailing Fax
- (262) 681-3118
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-09-2025
- Last Update Date
- 06-09-2025
- Code Navigator
Location Map
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
- License No.
- 0014387
- License State
- WI
- 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) |
|---|---|---|---|---|
| 1 | 311Z00000X | Nursing & Custodial Care Facilities | Custodial Care Facility | 0014387 (WI) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 2 | 7 | 6 | 0 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 4 | 7 | 12 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 4 + 7 + 1 + 2 + 0 + 1 + 4 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1750276077 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750276077, enumerated in the NPI registry as an "individual" on June 09, 2025
The provider is located at 2903 15th Ave South Milwaukee, Wi 53172 and the phone number is (262) 497-8448
The provider's speciality is Custodial Care Facility with taxonomy code 311ZA0620X with a focus in Adult Care Home
This NPI record was last updated on June 09, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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