SHEPHERDS BAPTIST MINISTRIES INC (NPI# 1407209109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407209109 |
| Entity Type | Organization |
| Organization Name | SHEPHERDS BAPTIST MINISTRIES INC |
| Other Organization Name | SHEPHERDS MINISTRIES |
| Practice Address |
1805 15th Ave Union Grove WI 53182-1527 |
| Practice Telephone | 2628785620 |
| Practice Fax Number | 2628789285 |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |
| Authorized Official Name | KARYN BORUCKI (CONTROLLER) |
| Authorized Official Telephone | 2628785620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Shepherds Ministries | Doing Business As Name - Organization |
| Street Address |
1805 15TH AVE |
| City | UNION GROVE |
| State | WI |
| Zip Code | 53182-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134843 | Cory Harpe | Technician | 23338 18th St., Union Grove, WI 53182 | 2019-09-20 |
| 1477925121 | Michael Joseph Gillen | Psychologist | 21425 Spring Street, Union Grove Va Clinic, Union Grove, WI 53182 | 2015-10-21 |
| 1881738615 | Roxanne Roese | Nurse Practitioner | 21425b Spring Street, Union Grove, WI 53182 | 2007-02-16 |
| 1821192444 | Lynn Ann Fredrickson | Registered Nurse | 15134 Washington Ave, Union Grove, WI 53182 | 2006-09-12 |
| 1619486776 | Adam Lee Wesner | Social Worker | 21425 Spring St, Union Grove, WI 53182 | 2017-09-21 |
| 1912441569 | Amie Koehnlein | Counselor | 1120 Main St, Union Grove, WI 53182 | 2016-12-15 |
| 1417337247 | Laura Brantman-johnson | Registered Nurse | 4320 67th Dr, Union Grove, WI 53182 | 2015-06-06 |
| 1932142197 | Catherine A Russell | Social Worker | Va Clinic, 21425 Spring, Union Grove, WI 53182 | 2006-06-14 |
| 1104928332 | Hospice Advantage, LLC | Hospice Care, Community Based | 951 Main St, Suite 120, Union Grove, WI 53182-1039 | 2006-09-01 |
| 1992759161 | Union Grove Yorkville Fire Rescue | Ambulance | 700 Main St, Union Grove, WI 53182-1048 | 2006-05-20 |
| Find all providers in zip 53182 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597933 | Mount Pleasant Homes LLP | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1917 Mount Pleasant St, Racine, WI 53404-2236 | 2020-10-28 |
| 1730736927 | Horizon Life Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 217 Wisconsin Ave Ste 201, Waukesha, WI 53186-4946 | 2019-08-22 |
| 1316457203 | James Cares LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2422 Marshall Sq, Kansasville, WI 53139-9763 | 2017-10-05 |
| 1497271449 | Rescare Residentail Services Wisconsin, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 511 S Pelham St, Rhinelander, WI 54501-3316 | 2017-08-21 |
| 1144756685 | Safe Haven Senior Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 E 19th St, Marshfield, WI 54449-5074 | 2017-05-03 |
| 1790140382 | Iris Manor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2339 N 60th St, Wauwatosa, WI 53210-2220 | 2015-12-23 |
| 1316312218 | A Place for Miracles Living Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7022 N 43rd St, Milwaukee, WI 53209-2219 | 2015-12-03 |
| 1396088639 | Bell Therapy, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 628 S 68th St, Milwaukee, WI 53214-1608 | 2013-04-05 |
| 1790039519 | Harbor Hope Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1626 S Park Ave, 908 Baldwin St, Neenah, WI 54956-5025 | 2012-10-31 |
| 1619232030 | Bell Therapy, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | W3151 State Highway 32, Elkhart Lake, WI 53020-1740 | 2012-07-11 |
| Find all providers with the same taxonomy | ||||
| City | UNION GROVE |
| Zip Code | 53182 |
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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.