Active NPI
Dek Co. Inc.
- Assisted Living Facility
- West Allis, WI
National Provider Identifier
1972732824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.