KENNETH SANTANA (NPI# 1003217423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003217423 |
Entity Type | Individual |
Full Name | KENNETH SANTANA |
Credential | SAC-IT |
Practice Address |
1111 S 6th St Milwaukee WI 53204-2301 |
Mailing Address |
1624a W Washington St Milwaukee WI 53204-2064 |
Practice Telephone | 4146491929 |
Mailing Telephone | 4146491929 |
Enumeration Date | 2014-09-05 |
Last Update Date | 2014-09-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 17228-130 | WI | Residential Treatment Facilities |
Street Address |
1111 S 6TH ST |
City | MILWAUKEE |
State | WI |
Zip Code | 53204-2301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467609776 | United Community Center | Substance Abuse Rehabilitation Facility | 1111 S 6th St, Milwaukee, WI 53204-2301 | 2008-08-19 |
1598251050 | Semma D Mccrary | Counselor | 1111 S 6th St, Milwaukee, WI 53204-2301 | 2018-07-09 |
1124552831 | Christian Calderon | Counselor | 1111 S 6th St, Milwaukee, WI 53204-2301 | 2017-04-19 |
1356874424 | Myrna Ramirez | Counselor | 1111 S 6th St, 3rd Floor, Milwaukee, WI 53204-2301 | 2017-04-06 |
1427581685 | Cesar Augusto Mejia | Counselor | 1111 S 6th St, 3rd Floor, Milwaukee, WI 53204-2301 | 2017-04-05 |
1801329065 | Corrie Lopez | Counselor | 1111 S 6th St, 3rd Floor, Milwaukee, WI 53204-2301 | 2017-04-05 |
1518408673 | Christina Michele Coates | Counselor | 1111 S 6th St, Milwaukee, WI 53204-2301 | 2017-03-09 |
1336503200 | Marcia G Villa | Counselor | 1111 S 6th St, Milwaukee, WI 53204-2301 | 2016-04-07 |
1265816581 | Eugenia Maria Sousa | Counselor | 1111 S 6th St, Milwaukee, WI 53204-2301 | 2015-07-16 |
1659751162 | Clarence Montgomery IIi | Counselor | 1111 S 6th St, 1111 S.6th St., Milwaukee, WI 53204-2301 | 2015-06-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528423290 | Blue Ribbon Healthcare LLC | Health Maintenance Organization | 1743 South1st Street, Milwaukee, WI 53204 | 2015-12-23 |
1215336599 | Marsha Vann | Counselor | 1028 N 9th St, Milwaukee, WI 53204 | 2014-08-22 |
1891109260 | Melissa Bendever | Counselor | 1111 South 6th Street, Milwaukee, WI 53204 | 2014-06-13 |
1942585823 | Theresa Marie Hintze | Counselor | 600 W Virginia Atlas Ste 203, Milwaukee, WI 53204 | 2011-10-11 |
1922395151 | Palmas & Ram Rudra LLC | Chiropractor | 1247 S. Cesar E. Chaves Drive, Milwaukee, WI 53204 | 2011-07-08 |
1225355183 | Victoria A White | Family Medicine | 16th Street Community Health Center, 1032 S Cesar E. Chavez Drive, Milwaukee, WI 53204 | 2010-04-30 |
1174850499 | Dnt Associates Inc. | Dentist | 710 W. Historic Mitchell St., Mitchell Street Dental, Milwaukee, WI 53204 | 2009-11-06 |
1851559124 | Michael L Kitzinger | Social Worker | 1201 W Historic Mitchell St, Milwaukee, WI 53204 | 2008-05-23 |
1083778781 | Douglas Ralph Higbie | Psychologist | 634 W Mitchell St, Milwaukee, WI 53204 | 2006-12-20 |
1013019413 | Romeo C Lo Md | Internal Medicine | 1672 S 9th St, 2nd Floor, Milwaukee, WI 53204 | 2006-09-05 |
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Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740589084 | Harambee Ombudsman Project Inc. | Substance Abuse Rehabilitation Facility | 335 W Wright St, Milwaukee, WI 53212-2729 | 2011-03-25 |
1790088896 | Meta House | Substance Abuse Rehabilitation Facility | 2618 N Bremen St, Milwaukee, WI 53212-3003 | 2010-12-10 |
1821326455 | Whites Residential Treatment & Clinical Services, Inc. | Substance Abuse Rehabilitation Facility | 4020 W Burleigh St, Milwaukee, WI 53210-1817 | 2009-11-19 |
1467609776 | United Community Center | Substance Abuse Rehabilitation Facility | 1111 S 6th St, Milwaukee, WI 53204-2301 | 2008-08-19 |
1639244254 | Horizon Inc | Substance Abuse Rehabilitation Facility | 2511 West Vine Street, Milwaukee, WI 53205 | 2006-11-21 |
1285187179 | River's Shore Clinic Ctc | Substance Abuse Rehabilitation Facility | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2016-07-27 |
1124482229 | Shecar Substance Abuse/mental Health Clinic | Substance Abuse Rehabilitation Facility | 2821 N 4th St, Milwaukee, WI 53212-2362 | 2016-04-05 |
1063759306 | United Community Center | Substance Abuse Rehabilitation Facility | 1028 S 9th St, Milwaukee, WI 53204-1335 | 2013-01-07 |
1386943066 | Community Care Housing LLC | Substance Abuse Rehabilitation Facility | 544 E Ogden Ave, Ste 700-268, Milwaukee, WI 53202-2698 | 2011-03-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114415908 | Iris Health Clinic LLC | Substance Abuse Rehabilitation Facility | 260 S Elm Grove Rd, Brookfield, WI 53005-6522 | 2018-04-26 |
1396259420 | Whole Life Services LLC | Substance Abuse Rehabilitation Facility | 819 Ash St Ste 150, Spooner, WI 54801-1201 | 2017-11-28 |
1306298740 | Phoenix Counseling | Substance Abuse Rehabilitation Facility | 64 S 4th St, Barron, WI 54812-1503 | 2016-07-11 |
1043684251 | Millenium Manor, LLC | Substance Abuse Rehabilitation Facility | 4509 Arthur Rd, Slinger, WI 53086-9603 | 2015-11-25 |
1780081174 | Psthways To A Better Life 1, LLC | Substance Abuse Rehabilitation Facility | 13111 Lax Chapel Rd, Kiel, WI 53042-3954 | 2014-12-01 |
1710304878 | Exodus Transitional Care Facility Inc. | Substance Abuse Rehabilitation Facility | 1421 Fond Du Lac Ave, Kewaskum, WI 53040-9136 | 2014-03-26 |
1558798686 | Friends of Women In Recovery Inc. | Substance Abuse Rehabilitation Facility | 166 S Park Ave, Fond Du Lac, WI 54935-4441 | 2013-10-03 |
1457784662 | The Pines Treatment & Recovery Center | Substance Abuse Rehabilitation Facility | N3387 State Road 73, Wautoma, WI 54982-5257 | 2013-08-12 |
1215375472 | Hope Haven | Substance Abuse Rehabilitation Facility | 3602 Memorial Dr, Madison, WI 53704-1106 | 2013-06-10 |
1831464536 | Alcocare Inc. | Substance Abuse Rehabilitation Facility | 786 S Main St, Janesville, WI 53545-4852 | 2012-03-13 |
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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.