OrganizationActive
Heavenly Divine Personal Care Services LLC
NPI 1114870136 · Personal Care Attendant · Germantown, WI
Provider details
- NPI number
- 1114870136
- Entity type
- Organization
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Micha Davis, Owner(414) 274-9789
Specialties & taxonomies
Nursing Service Related Providers
- Home Health Aide374U00000X
Nursing Service Related Providers
- Homemaker376J00000X
Nursing Service Related Providers
Practice location
W169n11506 Biscayne Dr
Germantown, WI 53022-3228
Phone: (414) 274-9789
Approximate (ZIP-level) locationGet directions
Mailing address
W169n11506 Biscayne Dr
Germantown, WI 53022-3228
Registry dates
- Enumerated
- 2026-02-18
- Last updated
- 2026-03-02
- Certified
- 2026-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.