Methodist Manor Health Center Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

METHODIST MANOR HEALTH CENTER INC.

Practice address

7300 W Dean Rd
Milwaukee, WI 53223-2637

Phone

(414) 371-7363

Fax

(414) 371-7334

NPI assigned

Mar 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James Enlund

Title

President & Ceo

Phone

(414) 607-4100

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• Olsen Medical Clinic - Trinity Doing business as

Tax ID family

Manor Pharmacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Methodist Manor Health Center Inc

  • Skilled Nursing Facility
  • West Allis, WI
  • NPI 1134196983
  NPD tax ID
• Methodist Manor Health Center, Inc.

  • Pharmacy
  • West Allis, WI
  • NPI 1073580403
  NPD tax ID
• Methodist Manor Health Center, Inc.

  • Pharmacy
  • Milwaukee, WI
  • NPI 1518934264
  NPD tax ID

Locations

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1235106576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 S 84TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532273703",
            "telephone_number": "414-607-4100",
            "fax_number": "414-607-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 W DEAN RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532232637",
            "telephone_number": "414-371-7363",
            "fax_number": "414-371-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST MANOR HEALTH CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "ENLUND",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "414-607-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WI",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "WI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20194100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olsen Medical Clinic - Trinity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meta House, Inc.
• Meta House, Inc.
• Shalon Metcalf
• Shyvon S Metcalf
• Vanessa Metellus, MD
• Methodist Manor Health Center, Inc.
• Methodist Manor of Waukesha, Inc.
• Methu Adult Family Care Home II
• Metro Care Home Medical Center, Inc.
• Metro Chiropractic, LLC

• Health Service Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Health Service Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.