Provider Demographics
NPI:1174385512
Name:DEVOTED CARE RECOGNITION SERVICES LLC
Entity type:Organization
Organization Name:DEVOTED CARE RECOGNITION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-627-8802
Mailing Address - Street 1:5300 S 108TH ST STE 15
Mailing Address - Street 2:PMB 184
Mailing Address - City:HALES CONERS
Mailing Address - State:WI
Mailing Address - Zip Code:53130-1911
Mailing Address - Country:US
Mailing Address - Phone:414-627-8802
Mailing Address - Fax:
Practice Address - Street 1:4965 S WOODLAWN PL
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53228-3432
Practice Address - Country:US
Practice Address - Phone:414-627-8802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness