METHU ADULT FAMILY CARE HOME II


Address: 2824 N 59th St, Milwaukee, WI 53210-1504
Phone: 4144668930

METHU ADULT FAMILY CARE HOME II (NPI# 1942605670) 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) 1942605670
Entity Type Organization
Organization Name METHU ADULT FAMILY CARE HOME II
Practice Address 2824 N 59th St
Milwaukee
WI 53210-1504
Mailing Address 3070 N 55th St
Milwaukee
WI 53210-1563
Practice Telephone 4144668930
Practice Fax Number 4148734501
Mailing Telephone 4144668930
Mailing Fax Number 4148734501
Enumeration Date 2014-10-23
Last Update Date 2014-10-23
Authorized Official Name MR. JAMES MWANGI METHU (PRESIDENT)
Authorized Official Telephone 4144668930
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 0015250 WI Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WI STATE OF WISCONSIN 0015250 01

Office Location

Street Address 2824 N 59TH ST
City MILWAUKEE
State WI
Zip Code 53210-1504

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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467810788 Stonebrick Residential Living Facility LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4703 W Villard Ave, Milwaukee, WI 53218-4459 2016-02-01
1154574739 Bell Therapy, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 5554 N 57th St, Milwaukee, WI 53218-3229 2008-10-28
1043410988 Pine View Living, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4532 N 76th St, Milwaukee, WI 53218-5341 2007-07-19
1336690833 Sweetdreams LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 8624 W Green Brook Dr, Milwaukee, WI 53224-2127 2016-10-19

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NPI Name Taxonomy Address Enumeration
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1316482920 Cheryl Mcmahon Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2483 28th St, Rice Lake, WI 54868-9098 2017-01-05
1093174765 Diane Cook Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 12489 State Highway 56, Viola, WI 54664-8914 2016-02-23
1932574670 Gayle Millis Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3260 E Carollton Dr, Oak Creek, WI 53154-4165 2015-12-07
1720498736 Kaiser Adult Family Care, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities W782 Leroy St, Edgar, WI 54426-9627 2014-04-29
1851721344 Evergreen Pines Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 343 E Cumberland St, Berlin, WI 54923-1206 2013-11-19
1679913487 Berlin Pines, Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 642 Broadway, Berlin, WI 54923-1302 2013-06-26
1245502053 Gloria Aweke Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1111 Gas Light Dr, Sun Prairie, WI 53590-3459 2012-02-08
1144500331 Cedar Pines, Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 101 W Division St, Wautoma, WI 54982-8467 2011-08-19
1912214966 Sumac Residential LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 723 B Blue Jay Lane, Hudson, WI 54016 2010-09-10
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Competitor

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City MILWAUKEE
Zip Code 53210

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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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