ST ANN CENTER FOR INTERGENERATIONAL CARE INC (NPI# 1598141335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598141335 |
| Entity Type | Organization |
| Organization Name | ST ANN CENTER FOR INTERGENERATIONAL CARE INC |
| Other Organization Name | ST. ANN CENTER MEDICAL CLINIC |
| Practice Address |
2801 E Morgan Ave Milwaukee WI 53207-3771 |
| Practice Telephone | 4149775000 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | TEMIDAYO I AKANDE (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 4149775004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| St. Ann Center Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629079132 | St Ann Center for Intergenerational Care Inc | Licensed Practical Nurse | 3221 S Lake Dr, Milwaukee, WI 53235-3702 | 2005-08-09 |
| 1144796988 | St Ann Center for Intergenerational Care Inc | Clinic/Center | 2450 W North Ave, Milwaukee, WI 53205-1001 | 2018-10-19 |
| Street Address |
2801 E MORGAN AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53207-3771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730355942 | Carol Ann Schmitt Dickert | Physical Therapy Assistant | 2801 E Morgan Ave, Milwaukee, WI 53207-3771 | 2008-05-07 |
| 1467780601 | Edna Lonergan | Occupational Therapist | 2801 E Morgan Ave, Milwaukee, WI 53207-3771 | 2009-11-30 |
| 1417110073 | Cindy Manzara | Physical Therapist | 2801 E Morgan Ave, Milwaukee, WI 53207-3771 | 2008-07-03 |
| 1033372685 | Cathleen Denise Foster | Occupational Therapist | 2801 E Morgan Ave, Milwaukee, WI 53207-3771 | 2008-07-03 |
| 1538322185 | Karen Szydel | Occupational Therapy Assistant | 2801 E Morgan Ave, Milwaukee, WI 53207-3771 | 2008-07-03 |
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589082 | Domanika Morbley | Clinic/Center | 2544 N 11th St, Milwaukee, WI 53206-3127 | 2020-08-18 |
| 1427674860 | Shanice Williams | Clinic/Center | 3950 N 74th St, Milwaukee, WI 53216-1971 | 2020-06-22 |
| 1003276841 | Mobile Medical Diagnostic Services LLC | Clinic/Center | 5205 S 13th St, Unit E, Milwaukee, WI 53221-3648 | 2016-03-04 |
| 1821458811 | Kutaiba Al Ithawi | Clinic/Center | 5205 S 13th St Unit E, Milwaukee, WI 53221-3648 | 2016-03-03 |
| 1518260843 | City of Milwaukee Health Dept | Clinic/Center | 841 N Broadway 3rd Floor, Milwaukee, WI 53202-3639 | 2010-12-08 |
| 1992035869 | Clear Medical Solutions, LLC | Clinic/Center | 1305 N 19th St, Milwaukee, WI 53205-2054 | 2009-12-28 |
| 1114176195 | Concentra Health Services, Inc. | Clinic/Center | 5007 S. Howell Avenue, Milwaukee, WI 53207-6157 | 2008-09-15 |
| 1386774958 | City of Milwaukee Health Department | Clinic/Center | 841 N Broadway Fl 3, Milwaukee, WI 53202-3639 | 2007-03-06 |
| 1144796988 | St Ann Center for Intergenerational Care Inc | Clinic/Center | 2450 W North Ave, Milwaukee, WI 53205-1001 | 2018-10-19 |
| 1841739026 | Helens Supportive Living | Clinic/Center | 6222 W Capitol Dr Suite 10, Milwaukee, WI 53216 | 2017-02-21 |
| 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.