Organization Active NPI

Devoted Personal Care, LLC

  • Home Health Agency
  • Wauwatosa, WI
National Provider Identifier
1023582897
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DEVOTED PERSONAL CARE, LLC
Practice address
9730 W Bluemound Rd Ste 4
Wauwatosa, WI 53226-4463
Phone
(414) 210-4589
Fax
(414) 509-5804
NPI assigned
Jan 15, 2019
Last updated
Jan 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ka T Her
Title
Administrator
Phone
(414) 210-4589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9730 W Bluemound Rd Ste 4
Wauwatosa, WI 53226-4463

Mailing address

9730 W Bluemound Rd Ste 4
Wauwatosa, WI 53226-4463
Phone (414) 210-4589

Other identifiers 1

IdentifierTypeStateIssuer
100063519MedicaidWI

National Provider Directory

National Provider Directory

Locations

9730 W Bluemound Rd
Ste 4
Wauwatosa, WI 53226
Phone (414) 210-4589

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1023582897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 W BLUEMOUND RD STE 4",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264463",
            "telephone_number": "414-210-4589",
            "fax_number": "414-509-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 W BLUEMOUND RD STE 4",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264463",
            "telephone_number": "414-210-4589",
            "fax_number": "414-509-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOTED PERSONAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "HER",
        "authorized_official_first_name": "KA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-210-4589"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100063519",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.