BANNER DAY CENTER (NPI# 1922395508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922395508 |
| Entity Type | Organization |
| Organization Name | BANNER DAY CENTER |
| Practice Address |
3801 N 88th St Milwaukee WI 53222-2706 |
| Practice Telephone | 4144664599 |
| Practice Fax Number | 4144662637 |
| Mailing Telephone | 4144664599 |
| Mailing Fax Number | 4144662637 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2011-07-05 |
| Authorized Official Name | MR. SIDNEY YELDELL (VICE PRESIDENT) |
| Authorized Official Telephone | 4143394604 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
3801 N 88TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53222-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740460708 | St. Rose Youth & Family Center, Inc | Counselor | 3801 N 88th St, Milwaukee, WI 53222-2706 | 2007-11-07 |
| 1962856526 | Sparkle Ashley | Counselor | 3801 N 88th St, Milwaukee, WI 53222-2706 | 2016-04-20 |
| 1245647973 | St. Rose Youth and Family Center | Community/Behavioral Health | 3801 N 88th St, Milwaukee, WI 53222-2706 | 2014-07-15 |
| 1548694003 | Latoya S. Love | Counselor | 3801 N 88th St, Milwaukee, WI 53222-2706 | 2013-09-02 |
| 1770917957 | Natalie Marie Eddy | Counselor | 3801 N 88th St, Milwaukee, WI 53222-2706 | 2013-08-24 |
| 1043644214 | David M Grimm | Counselor | 3801 N 88th St, Milwaukee, WI 53222-2706 | 2013-08-23 |
| 1770928137 | Erin K Bostelmann | Counselor | 3801 N 88th St, Milwaukee, WI 53222-2706 | 2013-04-29 |
| 1629316427 | Jessica Waldron | Social Worker | 3801 N 88th St, Milwaukee, WI 53222-2706 | 2013-01-29 |
| 1023301231 | Kathleen Patricia O'connor | Counselor | 3801 N 88th St, Milwaukee, WI 53222-2706 | 2011-05-20 |
| 1144544776 | Rebecca Barnes | Social Worker | 3801 N 88th St, Milwaukee, WI 53222-2706 | 2010-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| Find all providers in zip 53222 | ||||
| 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 |
| 1407494081 | Adult Day Services of Wisconsin LLC | Day Training, Developmentally Disabled Services | 206 E Lincoln Ave, Milwaukee, WI 53207-1544 | 2019-12-14 |
| 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 |
| 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.