Organization Active NPI

Destined Homes LLC

  • Adult Care Home Facility
  • Milwaukee, WI
National Provider Identifier
1851183289
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
DESTINED HOMES LLC
Practice address
7020 W Congress St
Milwaukee, WI 53218-5415
Phone
(414) 312-7155
NPI assigned
May 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Nekita T Chaney
Title
Owner
Phone
(414) 406-4093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

7020 W Congress St
Milwaukee, WI 53218-5415

Mailing address

7020 W Congress St
Milwaukee, WI 53218-5415
Phone (414) 312-7155

Other identifiers 1

IdentifierTypeStateIssuer
100310736MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1851183289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7020 W CONGRESS ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532185415",
            "telephone_number": "414-312-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 W CONGRESS ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532185415",
            "telephone_number": "414-312-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINED HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "CHANEY",
        "authorized_official_first_name": "NEKITA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-406-4093"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100310736",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.