D'Vina's Adult Family Home, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

D'VINA'S ADULT FAMILY HOME, LLC

Practice address

1402 S 9TH St
Manitowoc, WI 54220-5703

Phone

(920) 901-7044

NPI assigned

Oct 5, 2022

Organization subpart

No

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

Authorized official

Name

Desiree Flores

Title

Owner/Operator

Phone

(920) 901-7044

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1073238689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 S 9TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205703",
            "telephone_number": "920-901-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S 9TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205703",
            "telephone_number": "920-901-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D'VINA'S ADULT FAMILY HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "920-901-7044"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert R Cornwell, MD
• Amanda Kay Crooks, PA-C
• Matthew R Culligan, DDS
• Lori Czarneski
• Grazyna Grace Czerwonka, M.D.
• Gary D Daehn, CSAC
• Kimberly M Dahlke, NP
• Melissa Ann Dallas, PTA
• Haley Davidson, M.S. CF-SLP
• Emily Ann Dawidowich, PT

• In Home Supportive Care Agency in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.