DESTINATION HOME LLC
NPI 1124659339
Technician - Personal Care Attendant in Mukwonago, WI

Active since January 28, 2020
S50W30392 SEVILLE LN, MUKWONAGO, WI 53149(262) 224-6754 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Destination Home Llc NPPES

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

DESTINATION HOME LLC (NPI 1124659339) is a healthcare organization registered as a personal care attendant in Mukwonago, Wisconsin and active in the NPI registry since January 2020. The organization lists Cheryl Brown, Owner, as its authorized official.

NPPES Registry Identity

NPI1124659339
Entity TypeOrganization
Primary Taxonomy3747P1801X
Legal Business NameDESTINATION HOME LLC
Location AddressS50W30392 SEVILLE LNMukwonago, WI 53149-8732
Mailing AddressS50w30392 Seville LnMukwonago, WI 53149-8732 · (262) 224-6754
Organization SubpartNo
Authorized OfficialCheryl BrownOwner · (262) 224-6754
Enumeration DateJanuary 28, 2020
NPI 1124659339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
S50W30392 SEVILLE LN, Mukwonago, WI 53149

Other Identifiers 1

Medicaid100076054WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Technician (Personal Care Attendant)
S50W30392 SEVILLE LN
MUKWONAGO, WI 53149

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 Destination Home LLC's NPI number?

The NPI number for Destination Home LLC is 1124659339. It was assigned to this organization in the NPPES registry on January 28, 2020.

Where is Destination Home LLC located?

Destination Home LLC is located at S50w30392 Seville Ln, Mukwonago, WI 53149. The listed phone number is (262) 224-6754.

What is Destination Home LLC's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Destination Home LLC was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.