Dedrick Home Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DEDRICK HOME CARE SERVICES LLC

Practice address

7732 W National Ave
West Allis, WI 53214-4661

Phone

(414) 539-6096

NPI assigned

Nov 13, 2017

Organization subpart

No

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

Authorized official

Name

Shanell Dedrick

Title

Manager

Phone

(414) 539-6096

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1063925048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7732 W NATIONAL AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144661",
            "telephone_number": "414-539-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7732 W NATIONAL AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144661",
            "telephone_number": "414-539-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDRICK HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "DEDRICK",
        "authorized_official_first_name": "SHANELL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "414-539-6096"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy M Deal, LPC-IT
• Pamela R Deback, NP
• Rita J Debiase
• Sara J Deblaey, RRT
• Cheryl Dedecker, LPC
• Kayla Deitte
• Meghan Elizabeth Dejong, P.T.
• Dek Co. Inc.
• Claudia Delain
• Jill Nicole Delie, PSYD

• Home Health Agency in West Allis, WI
• Providers in West Allis, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.