Organization Active NPI

Advancing Abilities of Wisconsin, LLC

Doing business as Advancing Abilities of Wisconsin

  • Community/Behavioral Health Agency
  • West Allis, WI
National Provider Identifier
1144764127
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
20-140 Issued in WI
Legal business name
ADVANCING ABILITIES OF WISCONSIN, LLC
Doing business as
Advancing Abilities of Wisconsin
Practice address
10909 W Greenfield Ave
Suite 207
West Allis, WI 53214-2379
Phone
(414) 259-0021
Fax
(844) 315-9207
NPI assigned
Dec 12, 2016
Last updated
Dec 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Ms. Rhonda J Greenhaw, MA, BCBA
Title
President and Chief Clinical Office
Phone
(414) 259-0021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 20-140 WI Primary

Addresses

Primary practice location

10909 W Greenfield Ave
Suite 207
West Allis, WI 53214-2379

Mailing address

10909 W Greenfield Ave
Suite 207
West Allis, WI 53214-2379
Phone (414) 259-0021

Other names 1

  • Advancing Abilities of Wisconsin Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advancing Abilities of Wisconsin2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10909 W Greenfield Ave
Ste 207
West Allis, WI 53214
Phone (262) 707-3257

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1144764127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10909 W GREENFIELD AVE",
            "address_2": "SUITE 207",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532142379",
            "telephone_number": "414-259-0021",
            "fax_number": "844-315-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10909 W GREENFIELD AVE",
            "address_2": "SUITE 207",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532142379",
            "telephone_number": "414-259-0021",
            "fax_number": "844-315-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCING ABILITIES OF WISCONSIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "GREENHAW",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT AND CHIEF CLINICAL OFFICE",
        "authorized_official_telephone_number": "414-259-0021",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "20-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advancing Abilities of Wisconsin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 12, 2016; 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.