DESTANI'S CHILD MEDICAL DAY CARE PROVIDER, INC
NPI 1013275775
Skilled Nursing Facility - Nursing Care, Pediatric in Milwaukee, WI

Q: What is Destani's Child Medical Day Care Provider, Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

Active since May 01, 2012

3062 N 58TH ST, #1, MILWAUKEE, WI 53210(414) 217-2495(414) 445-3893 Get Directions Write a Review

NPPES record last updated: May 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Destani's Child Medical Day Care Provider, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESTANI'S CHILD MEDICAL DAY CARE PROVIDER, INC (NPI 1013275775) is a healthcare organization registered as a nursing care, pediatric in Milwaukee, Wisconsin and active in the NPI registry since May 2012. The organization lists Janice M Gorden, Administrator, as its authorized official.

NPPES Registry Identity

NPI1013275775

Entity TypeOrganization

Primary Taxonomy3140N1450X

Legal Business NameDESTANI'S CHILD MEDICAL DAY CARE PROVIDER, INC

Location Address3062 N 58TH ST, #1Milwaukee, WI 53210-1545

Mailing Address3062 N 58th St, #1Milwaukee, WI 53210-1545 · (414) 217-2495 · Fax (414) 445-3893

Phone(414) 217-2495

Fax(414) 445-3893

Organization SubpartNo

Authorized OfficialJanice M GordenAdministrator · (414) 217-2495

Enumeration DateMay 1, 2012

✔ NPI 1013275775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing Facility · Nursing Care, PediatricNursing & Custodial Care Facilities

Taxonomy Code3140N1450X

Definition

A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

3062 N 58TH ST, Milwaukee, WI 53210

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JANICE MARIA GORDEN R.N.

Registered Nurse (Home Health)

3062 N 58TH ST
MILWAUKEE, WI 53210

Milwaukee County (414) 445-3893

JL HEALTHCARE, LLC

Case Management

3062 N 58TH ST
MILWAUKEE, WI 53210

Milwaukee County (414) 217-2495

DESTANI'S CHILD MEDICAL DAYCARE, INC

Nursing Care

3062 N 58TH ST, SUITE 200
MILWAUKEE, WI 53210

Milwaukee County (414) 217-2495

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Destani's Child Medical Day Care Provider, Inc's NPI number?

The NPI number for Destani's Child Medical Day Care Provider, Inc is 1013275775. It was assigned to this organization in the NPPES registry on May 1, 2012.

Where is Destani's Child Medical Day Care Provider, Inc located?

Destani's Child Medical Day Care Provider, Inc is located at 3062 N 58th St #1, Milwaukee, WI 53210. The listed phone number is (414) 217-2495.

What is Destani's Child Medical Day Care Provider, Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

When was this NPI record last updated?

The NPPES record for Destani's Child Medical Day Care Provider, Inc was last updated on May 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.