DIVERSITY HOME HEALTH (NPI# 1790345387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790345387 |
| Entity Type | Organization |
| Organization Name | DIVERSITY HOME HEALTH |
| Practice Address |
342 N Water St Milwaukee WI 53202-5514 |
| Mailing Address |
3532 E Tesch Ave St Francis WI 53235-4863 |
| Practice Telephone | 2628999261 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Authorized Official Name | RAVN WILLIAMS (OWNER) |
| Authorized Official Telephone | 2668999261 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
342 N WATER ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53202-5514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144272600 | Terri A Wichgers | Physician Assistant | 342 N Water St, Suite 600, Milwaukee, WI 53202-5514 | 2006-05-16 |
| 1730613399 | T Uganda Lawrence | Contractor | 342 N Water St, Suite 617, Milwaukee, WI 53202-5514 | 2017-04-20 |
| 1386183945 | Housecall Healthcare LLC | Registered Nurse | 342 N Water St, Suite 600, Milwaukee, WI 53202-5514 | 2017-02-15 |
| 1083163398 | Jackson Care LLC | Home Health | 342 N Water St, Suite 600, Milwaukee, WI 53202-5514 | 2016-09-27 |
| 1093260192 | Kristin Kornelik | Behavioral Analyst | 342 N Water St, 600, Milwaukee, WI 53202-5514 | 2016-08-18 |
| 1922461383 | Building New Pathways, LLC | Home Health | 342 N Water St, Milwaukee, WI 53202-5514 | 2016-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958298 | Melanie Ann Pare | Occupational Therapist | 1414 N. Prospect Ave., Milwaukee, WI 53202 | 2019-12-06 |
| 1568921278 | Sword Health Inc | Health Educator | 1020 North Broadway, Milwaukee, WI 53202 | 2019-03-13 |
| 1619446408 | First Priority Home Care, LLC | Home Health | 342 W. Water Street, Suite 600, Milwaukee, WI 53202 | 2018-11-21 |
| 1346747169 | Creative Counseling of Milwaukee | Counselor | 2266 E Prospect Ave, Suite 304, Milwaukee, WI 53202 | 2018-04-09 |
| 1043692700 | Matthew Weinlander | Psychiatry & Neurology | 827 N Cass St # 9, Milwaukee, WI 53202 | 2015-06-18 |
| 1437572831 | Pathfinder Medical Group | Family Medicine | 216 Milwaukee St, Suite 2d, Milwaukee, WI 53202 | 2014-01-22 |
| 1669819785 | Kate Savage Anzia | Counselor | 2266 North Prospect Avenue, Suite 326, Ravenswood Clinic, Milwaukee, WI 53202 | 2013-05-30 |
| 1164773222 | Rutell Counseling Services, L.L.C. | Counselor | 759 N. Milwaukee St., Suite 600, Milwaukee, WI 53202 | 2012-09-28 |
| 1548563760 | Susan Rose Westergren | Pharmacist | 1400 E. Brady St, Walgreens, Milwaukee, WI 53202 | 2010-12-09 |
| 1174848816 | Brian D Eiche | Emergency Medicine | 111 E. Wisconsin Ave. Ste 2100, Infinity Healthcare, Milwaukee, WI 53202 | 2010-04-06 |
| Find all providers in zip 53202 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1306495064 | Jeanette Bearden | Technician | 4477 N 57 St., Milwaukee, WI 53218 | 2019-09-05 |
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1033761184 | Jnai Harris | Technician | 3383 N 36th St, Milwaukee, WI 53216-3717 | 2019-07-09 |
| 1073915419 | Mylai Tenner | Technician | 2838 N 1st St, Milwaukee, WI 53212-2404 | 2014-09-17 |
| 1184910812 | Erma J Major | Technician | 9223 N 70th St, Milwaukee, WI 53223-1107 | 2011-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770194524 | Christpher George Rowe | Technician | 825 Clermont S Apt 7, Antigo, WI 54409 | 2020-08-14 |
| 1720601198 | Rose Nelson | Technician | 3007 2nd Ave, Oxford, WI 53952 | 2020-05-20 |
| 1013543255 | Sonhui Edwards | Technician | 9730 W Coldspring Rd, Greenfield, WI 53228 | 2020-03-19 |
| 1679109045 | Nichol Davey | Technician | S2969 Sebion Rd, Westby, WI 54667 | 2020-03-18 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1467085621 | Dachia Abt | Technician | 52967 Sebion Rd, Westby, WI 54667 | 2020-02-17 |
| 1942833272 | Mary Tunison | Technician | 52969 Sebion Rd, 52969 Sebion Rd, Westby, WI 54667 | 2020-02-14 |
| 1730712068 | Kristine L Mowery | Technician | 52969 Sebion Rd., 52969 Sebion Rd, Westby, WI 54667 | 2020-02-14 |
| 1063042539 | Marjorie Stuart | Technician | 2410 Hirschman Lane, Hartland, WI 53029 | 2020-01-23 |
| 1629614391 | Wallee Stebbens | Technician | W724 County Rd N, Niagara, WI 54151 | 2019-11-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.