NPIMap

Organization Active NPI

Divine Personal Care Agency

  • Personal Care Attendant
  • Brown Deer, WI
National Provider Identifier
1235892159
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
DIVINE PERSONAL CARE AGENCY
Practice address
8330 N Teutonia Ave Ste 200
Brown Deer, WI 53209-1550
Phone
(414) 236-5608
Fax
(414) 236-5632
NPI assigned
Oct 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Melissa A SloanNPI 1841892890
Title
Owner
Phone
(414) 232-3962

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

8330 N Teutonia Ave Ste 200
Brown Deer, WI 53209-1550

Mailing address

8330 N Teutonia Ave Ste 200
Brown Deer, WI 53209-1550
Phone (414) 236-5608

Other names 1

  • Divine Personal Care Agency Doing business as

National Provider Directory

National Provider Directory

Locations

8330 N Teutonia Ave
Ste 200
Milwaukee, WI 53209
Phone (414) 236-5608

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": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1235892159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 N TEUTONIA AVE STE 200",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532091550",
            "telephone_number": "414-236-5608",
            "fax_number": "414-236-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 N TEUTONIA AVE STE 200",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532091550",
            "telephone_number": "414-236-5608",
            "fax_number": "414-236-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE PERSONAL CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-232-3962"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Personal Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brown Deer, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.