NPIMap

Organization Active NPI

United Community Center

  • Substance Abuse Rehabilitation Facility
  • Milwaukee, WI
National Provider Identifier
1063759306
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
UNITED COMMUNITY CENTER
Practice address
1028 S 9TH St
Milwaukee, WI 53204-1335
Phone
(414) 643-8530
Fax
(414) 647-8602
NPI assigned
Jan 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Ms. Chandel Angelica Demera, M.S,SAC-IT
Title
Counceler
Phone
(414) 643-8530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1028 S 9TH St
Milwaukee, WI 53204-1335

Mailing address

111 S 6TH Street
Milwaukee, WI 53204-2301
Phone (414) 643-8530

Other names 1

  • UCC Other name

National Provider Directory

National Provider Directory
Tax ID family
United Community Center5 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": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1063759306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 6TH STREET",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532042301",
            "telephone_number": "414-643-8530",
            "fax_number": "414-647-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 S 9TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532041335",
            "telephone_number": "414-643-8530",
            "fax_number": "414-647-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "DEMERA",
        "authorized_official_first_name": "CHANDEL",
        "authorized_official_middle_name": "ANGELICA",
        "authorized_official_title_or_position": "COUNCELER",
        "authorized_official_telephone_number": "414-643-8530",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S,SAC-IT"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 7, 2013; 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.