ST. ANN CENTER FOR INTERGENERATIONAL CARE (NPI# 1841667466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841667466 |
Entity Type | Organization |
Organization Name | ST. ANN CENTER FOR INTERGENERATIONAL CARE |
Practice Address |
2450 W North Ave Milwaukee WI 53205 |
Mailing Address |
2801 E Morgan Ave Milwaukee WI 53207-3771 |
Practice Telephone | 4149775000 |
Mailing Telephone | 4149775000 |
Enumeration Date | 2015-08-31 |
Last Update Date | 2016-03-16 |
Authorized Official Name | MRS. LAURA K CHEREKLAABS (DIRECTOR DENTAL PROGRAMS) |
Authorized Official Telephone | 4149775000 |
Authorized Official Credential | RDH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251K00000X | Public Health or Welfare | 5705-16 | WI | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 1023140118 | 05 | |
WI | 1831499532 | 05 | |
WI | 1982075719 | 05 |
Street Address |
2450 W NORTH AVE |
City | MILWAUKEE |
State | WI |
Zip Code | 53205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144796988 | St Ann Center for Intergenerational Care Inc | Clinic/Center | 2450 W North Ave, Milwaukee, WI 53205-1001 | 2018-10-19 |
1386146264 | Zenobia Lashawn Davis | Dental Hygienist | 2450 W North Ave, Milwaukee, WI 53205-1001 | 2018-03-06 |
1356797393 | Stephanie Ghojallu | Nurse Practitioner | 2450 W North Ave, Milwaukee, WI 53205-1001 | 2016-05-09 |
1982075719 | Laura Cherek-laabs | Dental Hygienist | 2450 W North Ave, Milwaukee, WI 53205 | 2015-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467931691 | The Salvation Army - Wisconsin and Upper Michigan | Counselor | 1730 N 7th Street, Milwaukee, WI 53205 | 2018-08-08 |
1821596909 | Robert Leland Goodman | Counselor | 1134 W. North Ave, Second Floor, Milwaukee, WI 53205 | 2018-01-24 |
1265980767 | Wisconsin Healthcare Services | Clinic/Center | 2462 West Lisbon Avenue, Milwaukee, WI 53205 | 2016-09-14 |
1407252646 | Abdelrahman H. Alarga | Pharmacist | 1919 W North Ave., Milwaukee, WI 53205 | 2014-11-17 |
1679981328 | Life Changing Ministries Substance Abuse Services | Clinic/Center | 1134 W North Ave 2nd Floor, Milwaukee, WI 53205 | 2014-07-25 |
1891031969 | Robin Michelle Benjamin | Licensed Practical Nurse | 1536 N 20th, Mil., WI 53205 | 2012-12-18 |
1275712937 | Bruce G Hartwell | Dentist | 901 W Winnebago St, Suite Ll-01, Milwaukee, WI 53205 | 2007-10-30 |
1407978521 | Westside Healthcare Association, Inc | Clinic/Center | 1452 N. 7th Street, Milwaukee, WI 53205 | 2007-04-06 |
1740316181 | Neville Winston Duncan | Family Medicine | 1134 W North Ave Fl 2, Milwaukee, WI 53205 | 2007-02-27 |
1639244254 | Horizon Inc | Substance Abuse Rehabilitation Facility | 2511 West Vine Street, Milwaukee, WI 53205 | 2006-11-21 |
Find all providers in zip 53205 |
Taxonomy Code | 251K00000X |
Grouping | Agencies |
Classification | Public Health or Welfare |
Definition to come... |
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1679035174 | Wrights' Naturals | Public Health or Welfare | 5632 W Burleigh St, Milwaukee, WI 53210-1549 | 2019-04-03 |
1457689747 | Wee Care Day Care, Inc. | Public Health or Welfare | 3882 N Teutonia Ave, Milwaukee, WI 53206-1967 | 2009-11-24 |
1942459094 | Outreach Community Health Centers, Inc. | Public Health or Welfare | 711 W Capitol Dr, Milwaukee, WI 53206-3328 | 2008-09-13 |
1316131907 | Milwaukee Care Connection | Public Health or Welfare | 2470 S 10th St Fl 2, Milwaukee, WI 53215-3249 | 2007-08-28 |
1760997860 | We Still Have Hope In Our Youth Inc. | Public Health or Welfare | 4129 N 20th St, Milwaukee, WI 53209-6812 | 2017-12-11 |
1245532050 | Aurora Health Care Metro, Inc. | Public Health or Welfare | 1218 W Kilbourn Ave, Suite 207, Milwaukee, WI 53233-1330 | 2010-11-30 |
1740516186 | Milwaukee Health Services Inc | Public Health or Welfare | 2555 N Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2009-10-20 |
1619202546 | Aurora Health Care Wic | Public Health or Welfare | 1218 W Kilbourn Ave, Suite 207, Milwaukee, WI 53233-1330 | 2009-10-09 |
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.