Anders Developmental & Transition Home LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

ANDERS DEVELOPMENTAL & TRANSITION HOME LLC

Practice address

3359 N 25TH St
Milwaukee, WI 53206-1237

Phone

(414) 509-7517

NPI assigned

Nov 13, 2019

Organization subpart

No

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

Authorized official

Name

Susie K Anders

Title

Officer

Phone

(414) 899-9897

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1134764103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 342563",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532342563",
            "telephone_number": "414-509-7517",
            "fax_number": "414-255-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3359 N 25TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532061237",
            "telephone_number": "414-509-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERS DEVELOPMENTAL & TRANSITION HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "ANDERS",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "414-899-9897"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anchor Counseling LLC
• Katie Andaloro
• Anna K Andazola Barker
• Elizabeth M Andekian, MSN, RN, ACNS-BC
• Anders Community & Family Services LLC
• Shontanay Anders, CRNA
• Steven L Anders
• Anderson Assistive Home Care LLC
• Kimberly J Anderson Khan, PSYD
• Tiffany Ann Anderson-Kather, FNP

• Emotionally Disturbed Childrens' Residential Treatment Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.