PRIMROSE RESIDENTIAL FACILITY (NPI# 1003064064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003064064 |
| Entity Type | Organization |
| Organization Name | PRIMROSE RESIDENTIAL FACILITY |
| Other Organization Name | COMMUNITY BASED RESIDENTIAL FACILITY |
| Practice Address |
3910 W Burleigh St Milwaukee WI 53210-1816 |
| Practice Telephone | 4144453607 |
| Practice Fax Number | 4144456575 |
| Mailing Telephone | 4144453607 |
| Mailing Fax Number | 4144454575 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |
| Authorized Official Name | MRS. SHIRLEY TEMPLE GLADNEY (ADMINISTRATOR) |
| Authorized Official Telephone | 4144453607 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
WI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Community Based Residential Facility | Doing Business As Name - Organization |
| Street Address |
3910 W BURLEIGH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53210-1816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499514 | Mckenzie Lisa Lambeck | Non-emergency Medical Transport (VAN) | 3016a N 36th St, Milwaukee, WI 53210 | 2020-08-31 |
| 1922572312 | Walter's Second Chance of Milwaukee, LLC. | In Home Supportive Care | 3043 N. 29th Street, Milwaukee, WI 53210 | 2019-01-18 |
| 1407353469 | Angie F Caballero | Assisted Living Facility | 5918 N 62nd Street, Milwaukee, WI 53210 | 2018-04-06 |
| 1689182636 | Kimberly Casey | Counselor | 5325 W.burleigh, Milwaukee, WI 53210 | 2018-01-11 |
| 1336663640 | Daron Mosby | Counselor | 2643 N 55th St., 2643 N 55th St., Milwaukee, WI 53210 | 2017-07-28 |
| 1881117174 | Advance Home Care, LLC | In Home Supportive Care | 6001 W Center St Ste 98ll, Milwaukee, WI 53210 | 2017-07-19 |
| 1285181735 | Aurora Family Services | Clinic/Center | 3200 W. Highland Blvd, Aurora Family Services, Milwaukee, WI 53210 | 2016-09-01 |
| 1447625264 | Kimberly Beckham | Registered Nurse | 3040 N 40th Street, Milwaukee, WI 53210 | 2015-12-04 |
| 1033595319 | Wisconsin Lutheran Child & Family Service Inc. | Social Worker | 207 North Sherman Blvd, Milwaukee, WI 53210 | 2015-08-10 |
| 1346633112 | Quiana Davis | Licensed Practical Nurse | 2478 North 34th Street, Milwaukee, WI 53210 | 2015-03-18 |
| Find all providers in zip 53210 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659931053 | Unitemke | Clinic/Center | 2474 N 37th St, Milwaukee, WI 53210-3044 | 2019-06-18 |
| 1962850768 | Muslim Community and Health Center of Wisconsin Inc | Clinic/Center | 803 W Layton Ave, Milwaukee, WI 53221-2426 | 2016-06-02 |
| 1972919009 | Eddie Ellis | Clinic/Center | 8808 W Mill Rd Apt 1, Milwaukee, WI 53225-1853 | 2014-07-09 |
| 1407978521 | Westside Healthcare Association, Inc | Clinic/Center | 1452 N. 7th Street, Milwaukee, WI 53205 | 2007-04-06 |
| 1518005818 | Milwaukee Health Services Inc | Clinic/Center | 2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255585659 | Thomas Patrick Chisholm | Clinic/Center | 316 W Spruce St, Chippewa Falls, WI 54729-1734 | 2008-11-12 |
| 1154394005 | Visiting Nurse Community Care, Inc. | Clinic/Center | 600 52nd St, Suite 300, Kenosha, WI 53140-3423 | 2006-02-10 |
| 1174027742 | County of Iron | Clinic/Center | 300 Taconite St Ste 201, Hurley, WI 54534-1545 | 2018-03-20 |
| 1720595341 | Taylor County Human Services Department | Clinic/Center | 540 College St, Medford, WI 54451-2027 | 2018-01-04 |
| 1306221957 | Taylor County Human Services | Clinic/Center | 540 College St, Medford, WI 54451-2027 | 2015-07-24 |
| 1003215476 | Oconto County Health and Human Services | Clinic/Center | 501 Park Ave, Oconto, WI 54153-1612 | 2014-08-21 |
| 1942649009 | Susan M Wittman | Clinic/Center | 1275 Bell Ave, Hartford, WI 53027-1976 | 2013-06-21 |
| 1063581759 | County of Marinette | Clinic/Center | 2500 Hall Ave Suite B, Marinette, WI 54143 | 2006-11-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.