Organization Active NPI

Specialized Services, LLC

  • In Home Supportive Care Agency
  • Sturgeon Bay, WI
National Provider Identifier
1205129277
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SPECIALIZED SERVICES, LLC
Practice address
185 E Walnut St
Sturgeon Bay, WI 54235-3900
Phone
(920) 743-8316
NPI assigned
May 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Authorized official

Name
Cory Diehm
Title
Owner/Member
Phone
(920) 743-8316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

185 E Walnut St
Sturgeon Bay, WI 54235-3900

Mailing address

185 E Walnut St
Sturgeon Bay, WI 54235-3900

National Provider Directory

National Provider Directory

Locations

185 E Walnut St
Sturgeon Bay, WI 54235
Phone (920) 743-8316

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1205129277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 E WALNUT ST",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542353900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 E WALNUT ST",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542353900",
            "telephone_number": "920-743-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "DIEHM",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "920-743-8316"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgeon Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.