# DEACONESS HOME HEALTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417081415
- **Authorized official:** MR. JUSTIN D HERN (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (414) 431-9760

## Contact information

- **Practice address:** 2778 S 35TH ST, MILWAUKEE, WI 53215-3545
- **Practice address phone:** (414) 431-9760
- **Practice address fax:** (414) 431-9759
- **Mailing address:** 2778 S 35TH ST, MILWAUKEE, WI 53215-3545
- **Mailing address phone:** (414) 431-9760
- **Mailing address fax:** (414) 431-9759

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1037 | WI | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 05/11/2012