NPIMap

Organization Active NPI

Meadowmere and Mitchell Manor Senior Living

  • Skilled Nursing Facility
  • West Allis, WI
National Provider Identifier
1124483714
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4173-154 Issued in WI
Legal business name
MEADOWMERE AND MITCHELL MANOR SENIOR LIVING
Practice address
5301 W Lincoln Ave
West Allis, WI 53219-1652
Phone
(414) 615-7200
NPI assigned
Dec 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Jennifer Etringer
Title
Business Office Manager
Phone
(414) 615-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4173-154 WI Primary

Addresses

Primary practice location

5301 W Lincoln Ave
West Allis, WI 53219-1652

Mailing address

5301 W Lincoln Ave
West Allis, WI 53219-1652
Phone (414) 615-7200

National Provider Directory

National Provider Directory
Tax ID family
Five Star Quality Care-Wi LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1124483714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 W LINCOLN AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532191652",
            "telephone_number": "414-615-7200",
            "fax_number": "414-615-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 W LINCOLN AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532191652",
            "telephone_number": "414-615-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWMERE AND MITCHELL MANOR SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "ETRINGER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "414-615-7200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "4173-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.