Healthcare Provider Details

I. General information

NPI: 1841101557
Provider Name (Legal Business Name): KAYDEN'S HOME KARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 W FAIRMOUNT AVE
MILWAUKEE WI
53218-4343
US

IV. Provider business mailing address

5201 W FAIRMOUNT AVE
MILWAUKEE WI
53218-4343
US

V. Phone/Fax

Practice location:
  • Phone: 262-505-7060
  • Fax:
Mailing address:
  • Phone: 262-505-7060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: DETRA DUKES
Title or Position: OWNER
Credential:
Phone: 262-505-7060