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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | STATE OF WISCONSIN | 0015250 | 01 |
Street Address |
2824 N 59TH ST |
City | MILWAUKEE |
State | WI |
Zip Code | 53210-1504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700499514 | Mckenzie Lisa Lambeck | Non-emergency Medical Transport (VAN) | 3016a N 36th St, Milwaukee, WI 53210 | 2020-08-31 |
1922572312 | Walter's Second Chance of Milwaukee, LLC. | In Home Supportive Care | 3043 N. 29th Street, Milwaukee, WI 53210 | 2019-01-18 |
1407353469 | Angie F Caballero | Assisted Living Facility | 5918 N 62nd Street, Milwaukee, WI 53210 | 2018-04-06 |
1689182636 | Kimberly Casey | Counselor | 5325 W.burleigh, Milwaukee, WI 53210 | 2018-01-11 |
1336663640 | Daron Mosby | Counselor | 2643 N 55th St., 2643 N 55th St., Milwaukee, WI 53210 | 2017-07-28 |
1881117174 | Advance Home Care, LLC | In Home Supportive Care | 6001 W Center St Ste 98ll, Milwaukee, WI 53210 | 2017-07-19 |
1285181735 | Aurora Family Services | Clinic/Center | 3200 W. Highland Blvd, Aurora Family Services, Milwaukee, WI 53210 | 2016-09-01 |
1447625264 | Kimberly Beckham | Registered Nurse | 3040 N 40th Street, Milwaukee, WI 53210 | 2015-12-04 |
1033595319 | Wisconsin Lutheran Child & Family Service Inc. | Social Worker | 207 North Sherman Blvd, Milwaukee, WI 53210 | 2015-08-10 |
1346633112 | Quiana Davis | Licensed Practical Nurse | 2478 North 34th Street, Milwaukee, WI 53210 | 2015-03-18 |
Find all providers in zip 53210 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
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] |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093252140 | Apria Residential Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2833 S 12th St, Sheboygan, WI 53081-6703 | 2017-01-27 |
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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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.