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

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  • 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
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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
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)
1311Z00000XNursing & 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.
1750276077
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271004712014
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 = 77

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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