Active NPI
Specialized Services, LLC
- In Home Supportive Care Agency
- Sturgeon Bay, WI
National Provider Identifier
1205129277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Social Worker
- Sturgeon Bay, WI
- NPI 1861599805
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
- Jessica J Skinner, RN, IBCLC
- Schye D Skinner
- Chanta L Sloma, DACM, LAC
- Alex N Smithback, D-PT
- Judith Sowl, RDN, CD
- Michael R. St Jean, M.D.
- St Vincent Hospital-Hospital Sisters-Third Order of St Francis
- St. Clare Memorial Hospital, Inc
- St. Joseph'S Hospital
- St. Vincent Hospital-Hospital Sisters-Third Order of St. Francis
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.