ADULT DAY SERVICES OF WISCONSIN LLC (NPI# 1407494081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407494081 |
Entity Type | Organization |
Organization Name | ADULT DAY SERVICES OF WISCONSIN LLC |
Practice Address |
206 E Lincoln Ave Milwaukee WI 53207-1544 |
Mailing Address |
Po Box 13701 Wauwatosa WI 53213-0701 |
Practice Telephone | 4142411103 |
Practice Fax Number | 4144861172 |
Mailing Telephone | 4142411103 |
Mailing Fax Number | 4144861172 |
Enumeration Date | 2019-12-14 |
Last Update Date | 2019-12-14 |
Authorized Official Name | MRS. LATASHA WOODSON (OWNER) |
Authorized Official Telephone | 4142411103 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
Street Address |
206 E LINCOLN AVE |
City | MILWAUKEE |
State | WI |
Zip Code | 53207-1544 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497304117 | Diane Wisch | Technician | 3602 S. 4th, Mil, WI 53207 | 2019-09-05 |
1811384464 | Megan O Bedolla | Emergency Medicine | 2338 E Ohio Ave, Milwaukee, WI 53207 | 2015-04-21 |
1255677563 | Jon Arthur Toppen | Counselor | 2637 S Fulton St, Milwaukee, WI 53207 | 2012-12-14 |
1720316730 | Paula Maria Ortega Flores | Massage Therapist | 2121 South Kinnickinnic Ave, Suite 3, Milwaukee, WI 53207 | 2009-12-02 |
1306087127 | Theron Mills | Counselor | 3073 S. Chase Ave., Suite 326, Milwaukee, WI 53207 | 2009-03-09 |
1841438769 | Counseling & Transition Center Inc | Clinic/Center | 3073 S. Chase Ave, Suite 326, Milwaukee, WI 53207 | 2009-01-30 |
1679727812 | Well-rounded, LLC | Clinic/Center | 2455 S. Howell Ave., Milwaukee, WI 53207 | 2008-11-14 |
1316154024 | Christian T. Harteau | Student in an Organized Health Care Education/Training Program | 3174 S Howell Ave, Milwaukee, WI 53207 | 2007-05-16 |
1316008303 | Thomas Fisher | Clinical Neuropsychologist | 2419 S. Lenox Street, Milwaukee, WI 53207 | 2006-12-13 |
1750470811 | David Alan Duter | Technician, Other | Uscg Sector Lake Michigan/hs Div, 2420 S. Lincoln Memorial Dr., Milwaukee, WI 53207 | 2006-10-12 |
Find all providers in zip 53207 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902386055 | Islands of Brilliance | Day Training, Developmentally Disabled Services | 415 E Menomonee St, Milwaukee, WI 53202-6117 | 2018-08-17 |
1790275378 | United Communities Adult Daycare Service Inc | Day Training, Developmentally Disabled Services | 5330 W Lisbon Ave, Milwaukee, WI 53210-2751 | 2018-05-18 |
1437694338 | Bekus Adult Day Program LLC | Day Training, Developmentally Disabled Services | 4425 N 63rd St, Milwaukee, WI 53218-5548 | 2016-12-31 |
1992081954 | Nrs Services, LLC | Day Training, Developmentally Disabled Services | 9401 W Beloit Rd Ste 416, Milwaukee, WI 53227-4357 | 2011-10-22 |
1033352760 | Mount Castle Corporation | Day Training, Developmentally Disabled Services | 3808 W Elm St, Milwaukee, WI 53209-3031 | 2009-04-10 |
1881745776 | Willowglen Academy, Inc. | Day Training, Developmentally Disabled Services | 3903 W Lisbon Ave, Milwaukee, WI 53208-1835 | 2007-01-16 |
1528497799 | Hope Housing of Shawano County and Wisconsin-usa | Day Training, Developmentally Disabled Services | 2153 N 36th St, Milwaukee, WI 53208-1406 | 2013-11-07 |
1922395508 | Banner Day Center | Day Training, Developmentally Disabled Services | 3801 N 88th St, Milwaukee, WI 53222-2706 | 2011-07-05 |
1194057026 | Howard Jansen Day Treatment | Day Training, Developmentally Disabled Services | 5151 W Silver Spring Dr, Milwaukee, WI 53218-3300 | 2010-02-03 |
1780822262 | Bell Therapy, Inc | Day Training, Developmentally Disabled Services | 6414 W Fond Du Lac Ave, Milwaukee, WI 53218-4917 | 2009-01-22 |
Find all providers in MILWAUKEE |
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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.