Destani'S Child Medical Daycare, INC
Nursing Care in Milwaukee, WI. Organization (NPI-2).
NPI number1831439264
StatusActive
Last updated in NPPESFeb 21, 2013
Details
- NPI
- 1831439264
- Entity type
- Organization (NPI-2)
- Legal business name
- Destani'S Child Medical Daycare, INC
- Organization subpart
- No
- Enumeration date
- Feb 21, 2013
- Last updated
- Feb 21, 2013
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 |
|---|---|---|---|---|
| 251J00000X | Nursing Care | 109525 | WI | Yes |
Practice location
3062 N 58th StSuite 200
Milwaukee, WI 53210-1545
Phone 414-217-2495 · Fax 414-445-3893
Mailing address
3062 N 58th StMilwaukee, WI 53210-1545
Phone 141-217-2495 · Fax 414-445-3893
Authorized official
Janice M Gorden
Executive Director
4142172495
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