Active NPI
Rosalie Manor Community & Family Services, Inc.
- Case Management Agency
- Milwaukee, WI
National Provider Identifier
1306014709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- ROSALIE MANOR COMMUNITY & FAMILY SERVICES, INC.
- Practice address
- 4803 W Burleigh St
Milwaukee, WI 53210-1643 - Phone
- (414) 449-2868
- Fax
- (414) 449-2870
- NPI assigned
- Feb 19, 2008
- 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
- Mr. Alberto Castro
- Title
- Executive Director
- Phone
- (414) 449-2868
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
4803 W Burleigh St
Milwaukee, WI 53210-1643
Mailing address
4803 W Burleigh St
Milwaukee, WI 53210-1643
Phone (414) 449-2868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44017700 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
4803 W Burleigh St
Milwaukee, WI 53210
Phone (414) 449-2868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203379200000",
"number": "1306014709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4803 W BURLEIGH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532101643",
"telephone_number": "414-449-2868",
"fax_number": "414-449-2870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4803 W BURLEIGH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532101643",
"telephone_number": "414-449-2868",
"fax_number": "414-449-2870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSALIE MANOR COMMUNITY & FAMILY SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-19",
"last_updated": "2008-02-19",
"status": "A",
"authorized_official_last_name": "CASTRO",
"authorized_official_first_name": "ALBERTO",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "414-449-2868",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44017700",
"state": "WI"
}
],
"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 Feb 19, 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.