Primrose Residential Facility

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

PRIMROSE RESIDENTIAL FACILITY

Doing business as

Community Based Residential Facility

Practice address

3910 W Burleigh St
Milwaukee, WI 53210-1816

Phone

(414) 445-3607

Fax

(414) 445-6575

NPI assigned

Sep 3, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Shirley Temple Gladney, RN

Title

Administrator

Phone

(414) 445-3607

Specialties & licenses 1

Addresses

Other names 1

• Community Based Residential Facility Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1003064064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 W BURLEIGH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101816",
            "telephone_number": "414-445-3607",
            "fax_number": "414-445-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 W BURLEIGH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101816",
            "telephone_number": "414-445-3607",
            "fax_number": "414-445-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMROSE RESIDENTIAL FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "GLADNEY",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "TEMPLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-445-3607",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Based Residential Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veralyn Prillaman
• Primary Care of Milwaukee, S.C.
• Prime Express Laboratory LLC
• Prime Morgan Transport
• Primitivo I. Reynaldo, M.D., S.C.
• Haley Rose Primuth
• Latrice Lynette Prince
• Pamela Charlene Prince, N.P.
• Julie Principe
• Magnolia Printz, MD

• Community Health Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Community Health Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.