DIVERSIFIED HEALTH AND SUPPORTIVE SERVICES LLC
NPI 1225783913
Home Health in Mequon, WI

Q: What is Diversified Health And Supportive Services LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since February 21, 2022

11520 N PORT WASHINGTON RD STE 208, MEQUON, WI 53092(414) 651-5954 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Diversified Health And Supportive Services Llc NPPES

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

DIVERSIFIED HEALTH AND SUPPORTIVE SERVICES LLC (NPI 1225783913) is a healthcare organization registered as a home health in Mequon, Wisconsin and active in the NPI registry since February 2022. The organization lists Shauna Pettis, Owner/subadministrator, as its authorized official.

NPPES Registry Identity

NPI1225783913

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameDIVERSIFIED HEALTH AND SUPPORTIVE SERVICES LLC

Location Address11520 N PORT WASHINGTON RD STE 208Mequon, WI 53092-3432

Mailing Address2903 N 74th St Apt 1Milwaukee, WI 53210-1000 · (414) 651-5954

Phone(414) 651-5954

Organization SubpartNo

Authorized OfficialShauna PettisOwner/subadministrator · (414) 748-7776

Enumeration DateFebruary 21, 2022

NPPES CertifiedFebruary 20, 2022

✔ NPI 1225783913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

11520 N PORT WASHINGTON RD STE 208, Mequon, WI 53092

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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 Diversified Health And Supportive Services LLC's NPI number?

The NPI number for Diversified Health And Supportive Services LLC is 1225783913. It was assigned to this organization in the NPPES registry on February 21, 2022.

Where is Diversified Health And Supportive Services LLC located?

Diversified Health And Supportive Services LLC is located at 11520 N Port Washington Rd Ste 208, Mequon, WI 53092. The listed phone number is (414) 651-5954.

What is Diversified Health And Supportive Services LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Diversified Health And Supportive Services LLC was last updated on February 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.