Direct Care Supportive Service LLC
Home Health in Milwaukee, WI. Organization (NPI-2).
NPI number1861978181
StatusActive
Last updated in NPPESJul 19, 2018
Details
- NPI
- 1861978181
- Entity type
- Organization (NPI-2)
- Legal business name
- Direct Care Supportive Service LLC
- Organization subpart
- No
- Enumeration date
- Jul 19, 2018
- Last updated
- Jul 19, 2018
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 |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
11805 W Hampton Ave Ste 103cMilwaukee, WI 53225-3612
Phone 414-213-3966 · Fax 414-755-7676
Mailing address
11805 W Hampton Ave Ste 103cMilwaukee, WI 53225-3612
Phone 414-213-3966 · Fax 414-755-7676
Authorized official
Detra Ferguson-Callahan
Owner/Admin
4142133966
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