Organization
DESTINATION HOME LLC
Active
Organization
DESTINATION HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL BROWN (OWNER)
(262) 224-6754
Entity
Organization
Contact information
Practice address
S50W30392 SEVILLE LN, MUKWONAGO, WI 53149-8732
(262) 224-6754
Mailing address
S50W30392 SEVILLE LN, MUKWONAGO, WI 53149-8732
(262) 224-6754
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100076054
—
WI
Enumeration date
01/28/2020
Last updated
01/28/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up