Dimera House
In Home Supportive Care in Milwaukee, WI. Organization (NPI-2).
NPI number1669910469
StatusActive
Last updated in NPPESFeb 1, 2017
Details
- NPI
- 1669910469
- Entity type
- Organization (NPI-2)
- Legal business name
- Dimera House
- Organization subpart
- No
- Enumeration date
- Feb 1, 2017
- Last updated
- Feb 1, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
4002 W Fairount AveMilwaukee, WI 53209
Phone 414-551-3489
Mailing address
4002 West Fairmount AveMilwaukee, WI 53209
United States Minor Outlying Islands
Phone 414-551-3489
Authorized official
Chad Crroll
Manager
4145513489
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 281 In Home Supportive Care Agency providers in Milwaukee · All 23,880 providers in Milwaukee
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