Healthcare Provider Details

I. General information

NPI: 1457289522
Provider Name (Legal Business Name): DAISY HILLS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11019 N TOWNE SQUARE RD
MEQUON WI
53092-4955
US

IV. Provider business mailing address

11019 N TOWNE SQUARE RD
MEQUON WI
53092-4955
US

V. Phone/Fax

Practice location:
  • Phone: 262-469-9609
  • Fax: 262-810-2078
Mailing address:
  • Phone: 262-469-9609
  • Fax: 262-810-2078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. ANNA TYSZKOWSKA
Title or Position: OWNER
Credential: MD
Phone: 773-715-4420