OrganizationActive
Diversified Health and Supportive Services LLC
NPI 1225783913 · Home Health Agency · Mequon, WI
Diversified Health and Supportive Services LLC is a Home Health Agency organization in Mequon, WI (NPI 1225783913).
Provider details
- NPI number
- 1225783913
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Shauna Pettis, Owner/Subadministrator(414) 748-7776
Specialties & taxonomies
Agencies
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11520 N Port Washington Rd Ste 208
Mequon, WI 53092-3432
Phone: (414) 651-5954
Street-level locationGet directions
Mailing address
2903 N 74th St Apt 1
Milwaukee, WI 53210-1000
Registry dates
- Enumerated
- 2022-02-21
- Last updated
- 2022-02-21
- Certified
- 2022-02-20
Frequently asked questions
- What is Diversified Health and Supportive Services LLC's NPI number?
- Diversified Health and Supportive Services LLC's National Provider Identifier (NPI) is 1225783913, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Diversified Health and Supportive Services LLC?
- Diversified Health and Supportive Services LLC is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Diversified Health and Supportive Services LLC located?
- Diversified Health and Supportive Services LLC's practice location on file with NPPES is 11520 N Port Washington Rd Ste 208, Mequon, WI 53092-3432.
- What is Diversified Health and Supportive Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Diversified Health and Supportive Services LLC is (414) 651-5954.
- Who is the authorized official for Diversified Health and Supportive Services LLC?
- The authorized official listed on Diversified Health and Supportive Services LLC's NPPES record is Shauna Pettis, Owner/Subadministrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Diversified Health and Supportive Services LLC's NPI active?
- Yes — Diversified Health and Supportive Services LLC's NPI (1225783913) is active in the NPPES registry as of the last update on 2022-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.