GAYLE MILLIS


Address: 3260 E Carollton Dr, Oak Creek, WI 53154-4165
Phone: 2629892366

GAYLE MILLIS (NPI# 1932574670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932574670
Entity Type Individual
Full Name GAYLE MILLIS
Credential LPN
Practice Address 3260 E Carollton Dr
Oak Creek
WI 53154-4165
Practice Telephone 2629892366
Practice Fax Number 4143045866
Mailing Telephone 2629892366
Mailing Fax Number 4143045866
Enumeration Date 2015-12-07
Last Update Date 2015-12-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 0014938 WI Residential Treatment Facilities
N 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 0015707 WI Residential Treatment Facilities
N 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 0013030 WI Residential Treatment Facilities
N 320700000X Residential Treatment Facility, Physical Disabilities 0015444 WI Residential Treatment Facilities
N 320700000X Residential Treatment Facility, Physical Disabilities 0013357 WI Residential Treatment Facilities
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 0014242 WI Residential Treatment Facilities

Office Location

Street Address 3260 E CAROLLTON DR
City OAK CREEK
State WI
Zip Code 53154-4165

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235762881 Imr Oak Creek Opco, LLC Skilled Nursing Facility 2700 West Honadel Boulevard, Oak Creek, WI 53154 2020-02-21
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1255991386 Jodi Kruszka Nurse Practitioner 825 E Manitowoc Avenue, Oak Creek, WI 53154 2019-06-20
1184288896 Thomas Carl Jonson Durable Medical Equipment & Medical Supplies 9036 S Carollton Dr., Oak Creek, WI 53154 2019-04-29
1982127577 Zainab Saddiq Optometrist 8661 S. Howell Ave, 200, Oak Creek, WI 53154 2017-07-25
1649700980 Froedtert & The Medical College of Wisconsin Community Physicians, Inc Durable Medical Equipment & Medical Supplies 7901 South 6th Street, Oak Creek, WI 53154 2017-06-19
1770969578 Suhani Virparia Pharmacist 171 W. Town Square Way, Oak Creek, WI 53154 2015-08-04
1275919144 Jessica Ford Social Worker 8825 South Howell Avenue, Suite 305, Oak Creek, WISCONSIN 53154 2015-08-03
1700269388 Tarnit Singh Kapoor Dentist 8421 Howell Ave, Oak Creek, WI 53154 2015-07-01
1447656350 Kiersten Kirking Physical Therapist 210 W. Raindbow Ridge Dr., 1207, Oak Creek, WI 53154 2014-11-05
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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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
1407209109 Shepherds Baptist Ministries Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1805 15th Ave, Union Grove, WI 53182-1527 2016-07-18
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
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Competitor

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City OAK CREEK
Zip Code 53154

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Dataset Information

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.

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