Organization Active NPI

Dejia Home Health Care

  • Home Health Agency
  • Milwaukee, WI
National Provider Identifier
1063895605
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DEJIA HOME HEALTH CARE
Practice address
7850 W Appleton Ave Ste 200
Milwaukee, WI 53218-5309
Phone
(414) 585-0766
Fax
(866) 500-8896
NPI assigned
Jul 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Mr. Lee P. Thao, MS
Title
Administrator
Phone
(414) 585-0766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7850 W Appleton Ave Ste 200
Milwaukee, WI 53218-5309

Mailing address

7850 W Appleton Ave Ste 200
Milwaukee, WI 53218-5309
Phone (414) 585-0766

Other identifiers 1

IdentifierTypeStateIssuer
100043557MedicaidWI

National Provider Directory

National Provider Directory

Locations

7850 W Appleton Ave
Ste 200
Milwaukee, WI 53218
Phone (414) 585-0766

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1063895605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 W APPLETON AVE STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532185309",
            "telephone_number": "414-585-0766",
            "fax_number": "866-500-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 W APPLETON AVE STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532185309",
            "telephone_number": "414-585-0766",
            "fax_number": "866-500-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEJIA HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "THAO",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-585-0766",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100043557",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.