GLORIA AWEKE (NPI# 1245502053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245502053 |
| Entity Type | Organization |
| Organization Name | GLORIA AWEKE |
| Practice Address |
1111 Gas Light Dr Sun Prairie WI 53590-3459 |
| Practice Telephone | 6088341473 |
| Mailing Telephone | 6088341473 |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |
| Authorized Official Name | GLORIA AWEKE (RN) |
| Authorized Official Telephone | 6088341473 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 167973-30 | WI | Residential Treatment Facilities |
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 167973-30 | WI | Residential Treatment Facilities |
| Street Address |
1111 GAS LIGHT DR |
| City | SUN PRAIRIE |
| State | WI |
| Zip Code | 53590-3459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194280529 | Kasi Lucas Schroeder | Chiropractor | 110 N Grand Ave, Suite 4, Sun Prairie, WI 53590 | 2019-02-11 |
| 1770053712 | Jamie Engstrom | Psychologist | 3061 Pleasant St, 216, Sun Prairie, WI 53590 | 2018-12-03 |
| 1154837433 | Wisconsin Dental Health, LLC | Dentist | 390 S. Grand Ave, Suite#110, Sun Prairie, WI 53590 | 2017-12-21 |
| 1669981676 | Elizabeth M Gregg | Counselor | 1170 N Bird St, Sun Prairie, WI 53590 | 2017-09-21 |
| 1609298595 | Prairie Lakes Dental | Dentist | 2804 Prairie Lakes Drive, Sun Prairie, WI 53590 | 2014-01-10 |
| 1407297559 | Quality Medical Rides LLC | Non-emergency Medical Transport (VAN) | 2907 Vang Rd, Sun Prairie, WI 53590 | 2013-07-17 |
| 1376892851 | Costco Wholesale Corporation | Pharmacy | 2850 Hoepker Rd, Sun Prairie, WI 53590 | 2012-08-30 |
| 1043454234 | Dean Lewis Drake | Registered Nurse | 7281 County Rd V. V., Sun Prairie, WI 53590 | 2009-05-01 |
| 1679728992 | Dianne Mary Mayr | Registered Nurse | 3181 Nature Dr, Conservancy States Ln, Sun Prairie, WI 53590 | 2008-12-01 |
| 1043462021 | Crown Point Village, LLC | Assisted Living Facility | 881 Liberty Boulevard, Sun Prairie, WI 53590 | 2008-10-21 |
| Find all providers in zip 53590 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518409465 | Star Dialysis LLC | Residential Treatment Facility, Physical Disabilities | 4145 Lake Meadow Dr, Racine, WI 53402-5321 | 2016-11-09 |
| 1679920649 | Tcby,llc | Residential Treatment Facility, Physical Disabilities | 528 Violet Ave, Hartford, WI 53027-1087 | 2016-05-19 |
| 1558715714 | Esh Enterprises LLC | Residential Treatment Facility, Physical Disabilities | 124 N Henry St, Edgerton, WI 53534-1868 | 2016-04-14 |
| 1942666763 | Oak Park Place of Baraboo, LLC | Residential Treatment Facility, Physical Disabilities | 800 Waldo St, Baraboo, WI 53913-2893 | 2016-01-08 |
| 1639552946 | Patricia Robinson | Residential Treatment Facility, Physical Disabilities | 408 W Keefe Ave, Milwaukee, WI 53212-1462 | 2015-07-06 |
| 1821493479 | Debra Ann Nelson | Residential Treatment Facility, Physical Disabilities | 2271 Pine Rd, Rudolph, WI 54475 | 2014-10-24 |
| 1356618672 | Bryant Homes, LLC. | Residential Treatment Facility, Physical Disabilities | 12501 W Needham Dr, New Berlin, WI 53151-1847 | 2011-12-01 |
| 1447559364 | Hyland Park Community | Residential Treatment Facility, Physical Disabilities | 5440 Caddis Bnd, Fitchburg, WI 53711-7105 | 2011-03-17 |
| 1124273479 | Independent Lifestyles, Inc. | Residential Treatment Facility, Physical Disabilities | 4405 S Deerwood Dr, New Berlin, WI 53151-9240 | 2008-11-28 |
| 1265601389 | Hunters Haven of Kenosha, LLC | Residential Treatment Facility, Physical Disabilities | 5500 41st St, Kenosha, WI 53144-1839 | 2008-02-22 |
| Find all providers with the same taxonomy | ||||
| City | SUN PRAIRIE |
| Zip Code | 53590 |
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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.