Organization Active NPI

Beatrice Manor

  • In Home Supportive Care Agency
  • Milwaukee, WI
National Provider Identifier
1194102731
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BEATRICE MANOR
Practice address
7255 N 86TH St
Milwaukee, WI 53224-4102
Phone
(414) 208-0149
NPI assigned
May 4, 2015
Last updated
May 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Mrs. Denise W Caradine Beechum
Title
Chief Director
Phone
(414) 208-0149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X WI Primary

Addresses

Primary practice location

7255 N 86TH St
Milwaukee, WI 53224-4102

Mailing address

7772 N Mariners St
Milwaukee, WI 53224-3307
Phone (414) 208-0149

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1194102731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7772 N MARINERS ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532243307",
            "telephone_number": "414-208-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 N 86TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532244102",
            "telephone_number": "414-208-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEATRICE MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "CARADINE BEECHUM",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF DIRECTOR",
        "authorized_official_telephone_number": "414-208-0149",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 4, 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.