Healthcare Provider Details

I. General information

NPI: 1073317640
Provider Name (Legal Business Name): REMEDY HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2025
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 S LAYTON BLVD LOWR UPPER
MILWAUKEE WI
53215-1224
US

IV. Provider business mailing address

155 N LAKEVIEW BLVD UNIT 229
CHANDLER AZ
85225-5848
US

V. Phone/Fax

Practice location:
  • Phone: 414-526-7331
  • Fax:
Mailing address:
  • Phone: 414-526-7331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHIANTI CLAY
Title or Position: OWNER
Credential: BS DERGEE
Phone: 414-526-7331