Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diversified Health and Supportive Services LLC

Organization Home Health Agency · NPI 1225783913

Diversified Health and Supportive Services LLC is a Home Health Agency in Mequon, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

11520 N Port Washington Rd Ste 208
Mequon, WI 53092-3432
Phone: (414) 651-5954
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X

Record details

NPI number1225783913
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shauna Pettis — Owner/Subadministrator · (414) 748-7776
NPI enumeratedFebruary 21, 2022
Last updated in NPPESFebruary 21, 2022
Certification dateFebruary 20, 2022
Mailing address2903 N 74th St Apt 1, Milwaukee, WI 53210-1000

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