Active NPI
Capitol Terrace LLC
- Assisted Living Facility
- Milwaukee, WI
National Provider Identifier
1245625482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Milwaukee, WI
- NPI 1912386574
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.