NPIMap

Organization Active NPI

Pine View Living, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Milwaukee, WI
National Provider Identifier
1043410988
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
PINE VIEW LIVING, INC.
Practice address
4532 N 76TH St
Milwaukee, WI 53218-5341
Phone
(414) 527-4039
Fax
(414) 466-0919
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Fred Boyd
Title
Ceo
Phone
(414) 527-4039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X WI Primary

Addresses

Primary practice location

4532 N 76TH St
Milwaukee, WI 53218-5341

Mailing address

4532 N 76TH St
Milwaukee, WI 53218-5341
Phone (414) 527-4039

Other names 1

  • Pine View II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pine View Living Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043410988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532185341",
            "telephone_number": "414-527-4039",
            "fax_number": "414-466-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4532 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532185341",
            "telephone_number": "414-527-4039",
            "fax_number": "414-466-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE VIEW LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-527-4039",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine View II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.