Organization Active NPI

Capitol Terrace LLC

  • Assisted Living Facility
  • Milwaukee, WI
National Provider Identifier
1245625482
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CAPITOL TERRACE LLC
Practice address
4019 N 87TH St
Milwaukee, WI 53222-1708
Phone
(414) 915-7499
NPI assigned
Apr 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Vickie Gaillard, LPN
Title
Member
Phone
(414) 915-7499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4019 N 87TH St
Milwaukee, WI 53222-1708

Mailing address

4480 N 85TH St
Milwaukee, WI 53225-5108

National Provider Directory

National Provider Directory
Tax ID family
Capitol Terrace LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1428105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1245625482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 N 85TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532255108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 N 87TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221708",
            "telephone_number": "414-915-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL TERRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-04",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "GAILLARD",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "414-915-7499",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "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 27, 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.