Organization Active NPI

Waterfall Health of Brown Deer LLC

  • Skilled Nursing Facility
  • Milwaukee, WI
National Provider Identifier
1285345041
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WATERFALL HEALTH OF BROWN DEER LLC
Practice address
7500 W Dean Rd
Milwaukee, WI 53223-2638
Phone
(414) 371-7300
NPI assigned
Dec 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Mr. Shmuel Follman
Title
Owner
Phone
(414) 371-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

7500 W Dean Rd
Milwaukee, WI 53223-2638

Mailing address

7500 W Dean Rd
Milwaukee, WI 53223-2638

National Provider Directory

National Provider Directory

Locations

1017 W Glen Oaks Ln
Ste 161
Mequon, WI 53092

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1285345041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 W DEAN RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532232638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 W DEAN RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532232638",
            "telephone_number": "414-371-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFALL HEALTH OF BROWN DEER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "FOLLMAN",
        "authorized_official_first_name": "SHMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-371-7300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing 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 Oct 16, 2023; 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.