Healthcare Provider Details

I. General information

NPI: 1003606690
Provider Name (Legal Business Name): D&S HOMEZ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2025
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3338 N 2ND ST # A
MILWAUKEE WI
53212-1555
US

IV. Provider business mailing address

2820 N RICHARDS ST
MILWAUKEE WI
53212-2440
US

V. Phone/Fax

Practice location:
  • Phone: 414-309-3213
  • Fax: 414-309-3213
Mailing address:
  • Phone: 414-207-3458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: DAVIDA T CLIFTON
Title or Position: OWNER
Credential:
Phone: 414-309-3213