Organization Active NPI

Gro Family Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
National Provider Identifier
1144475765
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
2803 Issued in WI
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

Updated by the provider on Mar 6, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1144475765MedicaidWI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.