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RICKEY ROACH
NPI 1710697818
Home Health in Milwaukee, WI

Active since November 29, 2022
2928 N 55TH ST, MILWAUKEE, WI 53210(414) 766-8072 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rickey Roach NPPES

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

RICKEY ROACH (NPI 1710697818) is an individual home health provider in Milwaukee, Wisconsin, licensed in Wisconsin (0019066) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1710697818
Entity TypeIndividualMale
Primary Taxonomy251E00000X
Provider Legal NameRICKEY ROACH
Location Address2928 N 55TH STMilwaukee, WI 53210-1561
Mailing AddressPo Box 241003Milwaukee, WI 53224-9025 · (414) 766-8072 · Fax (414) 231-3734
Phone(414) 766-8072
Sole ProprietorYes
Enumeration DateNovember 29, 2022
NPPES CertifiedNovember 29, 2022
✔ NPI 1710697818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in WI · 0019066
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.
2928 N 55TH ST, Milwaukee, WI 53210
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Other Identifiers 1

Medicaid87-1298668WI

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 Rickey Roach's NPI number?

The NPI number for Rickey Roach is 1710697818. It was assigned to this individual provider in the NPPES registry on November 29, 2022.

Where is Rickey Roach located?

Rickey Roach practices at 2928 N 55th St, Milwaukee, WI 53210. The listed phone number is (414) 766-8072.

What is Rickey Roach'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 Rickey Roach was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.