Delphi Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3150 Issued in WI

Legal business name

DELPHI HEALTHCARE LLC

Practice address

2115 E Woodstock PL
Milwaukee, WI 53202-1342

Phone

(414) 271-1020

Fax

(414) 271-2762

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Claudia Sue Harris

Title

Administrator

Phone

(414) 271-1020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eastside Rehablitation Center Doing business as

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215092184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 E WOODSTOCK PL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021342",
            "telephone_number": "414-271-1020",
            "fax_number": "414-271-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 E WOODSTOCK PL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021342",
            "telephone_number": "414-271-1020",
            "fax_number": "414-271-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELPHI HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-271-1020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "3150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20191300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastside Rehablitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Maria Josephine Demaio, MSW

• Skilled Nursing Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.