NPIMap

Organization Active NPI

Moltke Place

  • Lodging Provider
  • Milwaukee, WI
National Provider Identifier
1215427612
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
Legal business name
MOLTKE PLACE
Practice address
6741 W Moltke Ave
Milwaukee, WI 53210-1354
Phone
(414) 739-2105
NPI assigned
May 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Authorized official

Name
Ms. Mary Woods, MSM
Title
Director
Phone
(414) 739-2105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X Primary

Addresses

Primary practice location

6741 W Moltke Ave
Milwaukee, WI 53210-1354

Mailing address

PO Box 511693
Milwaukee, WI 53203-0291
Phone (414) 739-2105

Other identifiers 1

IdentifierTypeStateIssuer
1295134567MedicaidWI

Other names 1

  • Moltke Place, LLC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1215427612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511693",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532030291",
            "telephone_number": "414-739-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6741 W MOLTKE AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101354",
            "telephone_number": "414-739-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLTKE PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-739-2105",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSM"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295134567",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moltke Place, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 11, 2018; 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.