OrganizationActive
Potters House Pncc Services
NPI 1790350908 · Case Management Agency · Milwaukee, WI
Potters House Pncc Services is a Case Management Agency organization in Milwaukee, WI (NPI 1790350908).
Provider details
- NPI number
- 1790350908
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Dequana Bostick, Owner(414) 419-1025
Specialties & taxonomies
Agencies
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
2110 W National Ave
Milwaukee, WI 53204-1159
Phone: (414) 940-8564
Fax: (414) 810-0523
Street-level locationGet directions
Mailing address
824 S 18th St
Milwaukee, WI 53204-1125
Registry dates
- Enumerated
- 2021-05-21
- Last updated
- 2021-05-21
- Certified
- 2021-05-21
Frequently asked questions
- What is Potters House Pncc Services's NPI number?
- Potters House Pncc Services's National Provider Identifier (NPI) is 1790350908, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Potters House Pncc Services?
- Potters House Pncc Services is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Potters House Pncc Services located?
- Potters House Pncc Services's practice location on file with NPPES is 2110 W National Ave, Milwaukee, WI 53204-1159.
- What is Potters House Pncc Services's phone number?
- The practice phone number listed in the NPPES registry for Potters House Pncc Services is (414) 940-8564.
- Who is the authorized official for Potters House Pncc Services?
- The authorized official listed on Potters House Pncc Services's NPPES record is Dequana Bostick, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Potters House Pncc Services's NPI active?
- Yes — Potters House Pncc Services's NPI (1790350908) is active in the NPPES registry as of the last update on 2021-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.