Active NPI
Gro Family Services LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
National Provider Identifier
1144475765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 2803
- Legal business name
- GRO FAMILY SERVICES LLC
- Practice address
- 6400 W Capitol Dr
Suite 200
Milwaukee, WI 53216-2156 - Phone
- (414) 445-1400
- Fax
- (414) 395-4716
- NPI assigned
- Nov 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gregory Renard Owens
- Title
- Ceo
- Phone
- (414) 234-1263
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 2803 | WI | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 2803 | WI | Primary |
| Substance Abuse Rehabilitation Facility | 324500000X | 2803 | WI |
Addresses
Primary practice location
6400 W Capitol Dr
Suite 200
Milwaukee, WI 53216-2156
Mailing address
6400 W Capitol Dr
Suite 200
Milwaukee, WI 53216-2156
Phone (414) 445-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144475765 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
1438 N Sherman Ave
Madison, WI 53704
Phone (608) 241-4285
6400 W Capitol Dr
Ste 200
Milwaukee, WI 53216
Phone (414) 445-1400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425600000000",
"number": "1144475765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 W CAPITOL DR",
"address_2": "SUITE 200",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532162156",
"telephone_number": "414-445-1400",
"fax_number": "414-395-4716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 W CAPITOL DR",
"address_2": "SUITE 200",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532162156",
"telephone_number": "414-445-1400",
"fax_number": "414-395-4716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRO FAMILY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-24",
"last_updated": "2015-03-06",
"status": "A",
"authorized_official_last_name": "OWENS",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "RENARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "414-234-1263",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WI",
"license": "2803",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "WI",
"license": "2803",
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "WI",
"license": "2803",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144475765",
"state": "WI"
}
],
"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 Mar 6, 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.