Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethereal Muse Collective LLC

Organization In Home Supportive Care Agency · NPI 1962335059

Ethereal Muse Collective LLC is an In Home Supportive Care Agency in Milwaukee, Wisconsin. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4212 W Hawthorne Trace Rd Apt 206
Milwaukee, WI 53209-1023
Phone: (414) 236-2745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X

Record details

NPI number1962335059
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lasheenia Evans — Owner · (414) 236-2745
NPI enumeratedJune 8, 2026
Last updated in NPPESJune 8, 2026
Certification dateJune 7, 2026
Mailing address4212 W Hawthorne Trace Rd Apt 206, Milwaukee, WI 53209-1023

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