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

Rickey Roach

Individual provider Home Health Agency · NPI 1710697818

Rickey Roach is a Home Health Agency in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2022

Practice location Address checks out

2928 N 55th St
Milwaukee, WI 53210-1561
Phone: (414) 766-8072
Show map & directions

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

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X · Licence 0019066 (WI)

Record details

NPI number1710697818
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 29, 2022
Last updated in NPPESNovember 29, 2022
Certification dateNovember 29, 2022

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