Organization Active NPI

Rashada Adult Family Home

  • Assisted Living Facility
  • Milwaukee, WI
National Provider Identifier
1043554090
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
0013901 Issued in WI
Legal business name
RASHADA ADULT FAMILY HOME
Practice address
4083 N Montreal St
Milwaukee, WI 53216-1754
Phone
(414) 840-3049
Fax
(414) 442-7105
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Miss Kamilah Rashada
Title
Owner
Phone
(414) 840-3049

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 0013901 WI Primary
Private Vehicle 347C00000X 0013901 WI
Respite Care 385H00000X 0013901 WI

Addresses

Primary practice location

4083 N Montreal St
Milwaukee, WI 53216-1754

Mailing address

4083 N Montreal St
Milwaukee, WI 53216-1754
Phone (414) 840-3049

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1043554090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4083 N MONTREAL ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161754",
            "telephone_number": "414-840-3049",
            "fax_number": "414-442-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4083 N MONTREAL ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161754",
            "telephone_number": "414-840-3049",
            "fax_number": "414-442-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RASHADA ADULT FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "RASHADA",
        "authorized_official_first_name": "KAMILAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-840-3049",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "0013901",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "WI",
            "license": "0013901",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "WI",
            "license": "0013901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 15, 2012; 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.