NPIMap

Organization Active NPI

Easter Seals Southeast Wisconsin

  • Developmentally Disabled Services Day Training Agency
  • Waukesha, WI
National Provider Identifier
1164664603
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
1827800 Issued in WI
Legal business name
EASTER SEALS SOUTHEAST WISCONSIN
Practice address
505 Northview Road
Waukesha, WI 53188
Phone
(262) 547-6821
Fax
(262) 547-6883
NPI assigned
Mar 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Authorized official

Name
Michelle Schaefer
Title
Coo
Phone
(414) 963-5902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 1827800 WI Primary

Addresses

Primary practice location

505 Northview Road
Waukesha, WI 53188

Mailing address

2222 S. 114TH Street
West Allis, WI 53227
Phone (414) 449-4444

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals Southeast Wisconsin Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

505 Northview Rd
Waukesha, WI 53188
Phone (262) 547-6821

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1164664603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S. 114TH STREET",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "53227",
            "telephone_number": "414-449-4444",
            "fax_number": "414-571-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NORTHVIEW ROAD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53188",
            "telephone_number": "262-547-6821",
            "fax_number": "262-547-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS SOUTHEAST WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "414-963-5902"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "WI",
            "license": "1827800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.