MEDICARE: KATIE'S RAINGING ANGELS PRIVATE DUTY CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1316880305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KATIE'S RAINGING ANGELS PRIVATE DUTY CARE LLC

Provider Business Mailing Address
First Line	:	6238 N 95TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53225-1605
Country	:	US
Telephone Number	:	414-687-9441
Fax Number	:

Provider Business Practice Location Address
First Line	:	6238 N 95TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53225-1605
Country	:	US
Telephone Number	:	414-687-9441
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	MRS. DARMIKA CHIMERE HARRIS
Credential	:
Telephone Number	:	414-687-9441

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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