NPIMap

Organization Active NPI

St. Aemilian Lakeside

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Milwaukee, WI
National Provider Identifier
1275700437
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
1586121 Issued in WI
Legal business name
ST. AEMILIAN LAKESIDE
Practice address
8901 W Capitol Dr
Milwaukee, WI 53222-1706
Phone
(414) 463-1880
NPI assigned
May 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Ms. Laura Van Alstine
Title
Quality Assurance Specialist
Phone
(414) 463-1880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 1586121 WI Primary

Addresses

Primary practice location

8901 W Capitol Dr
Milwaukee, WI 53222-1706

Mailing address

8901 W Capitol Dr
Milwaukee, WI 53222-1706

National Provider Directory

National Provider Directory
Tax ID family
Saint a5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1275700437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221706",
            "telephone_number": "414-463-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. AEMILIAN LAKESIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "VAN ALSTINE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "QUALITY ASSURANCE SPECIALIST",
        "authorized_official_telephone_number": "414-463-1880",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "WI",
            "license": "1586121",
            "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 16, 2008; 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.