Organization Active NPI

Dek Co. Inc.

  • Assisted Living Facility
  • West Allis, WI
National Provider Identifier
1972732824
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DEK CO. INC.
Practice address
1217 S 118TH St
West Allis, WI 53214-2132
Phone
(414) 257-1208
NPI assigned
Jul 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Ms. Dawn E. Kennison
Title
Administrator/Owner
Phone
(414) 364-4100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X WI Primary
Assisted Living Facility (Mental Illness) 3104A0625X WI
Intellectual Disabilities Intermediate Care Facility 315P00000X WI

Addresses

Primary practice location

1217 S 118TH St
West Allis, WI 53214-2132

Mailing address

4473 N 105TH St
Wauwatosa, WI 53225-4509
Phone (414) 438-6620

Other names 1

  • Rainbow Park Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1972732824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4473 N 105TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532254509",
            "telephone_number": "414-438-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 S 118TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532142132",
            "telephone_number": "414-257-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEK CO. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "KENNISON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "414-364-4100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "WI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Park Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.