St. Clare Terrace

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

0010944 Issued in WI

Legal business name

ST. CLARE TERRACE

Practice address

3553 S 41St St
Milwaukee, WI 53221-1024

Phone

(414) 649-0730

Fax

(414) 649-0740

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Dennis Ferger

Title

Management Representative

Phone

(414) 546-7330

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053426874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3553 S 41ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532211024",
            "telephone_number": "414-649-0730",
            "fax_number": "414-649-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3553 S 41ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532211024",
            "telephone_number": "414-649-0730",
            "fax_number": "414-649-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLARE TERRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERGER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "MANAGEMENT REPRESENTATIVE",
        "authorized_official_telephone_number": "414-546-7330"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "0010944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY CARE",
            "identifier": "91121",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Charles
• St. Charles Youth & Family Services
• St. Charles Youth & Family Services, Inc.
• St. Charles Youth & Family Services, Inc. (STC Wellness Center)
• St. Charles Youth and Family Services
• St. Francis Children's Center
• St. Francis Graphics
• Isabelle St. John, APNP
• St. Joseph's Electrocardiographic Associates
• St. Joseph's Emergency Physicians, LLP

• Assisted Living Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Assisted Living Facility in Wisconsin

• 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.