NPIMap

Organization Active NPI

Mjcare, Inc.

  • Rehabilitation Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1316908908
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
MJCARE, INC.
Practice address
2330 N Prospect Ave
Milwaukee, WI 53211-4455
Phone
(414) 220-4610
NPI assigned
Mar 31, 2006
Last updated
Sep 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Jane Beisser
Title
Vice President
Phone
(414) 329-2429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

2330 N Prospect Ave
Milwaukee, WI 53211-4455

Mailing address

2725 S Moorland Rd Ste 301
New Berlin, WI 53151-3720
Phone (414) 329-2500

Other identifiers 2

IdentifierTypeStateIssuer
41808300MedicaidWI
41807900MedicaidWI

National Provider Directory

National Provider Directory

Locations

2501 Shelby Rd
La Crosse, WI 54601
Phone (608) 519-9801

2725 S Moorland Rd
Ste 301
New Berlin, WI 53151
Phone (414) 329-2428

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1316908908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 S MOORLAND RD STE 301",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531513720",
            "telephone_number": "414-329-2500",
            "fax_number": "414-329-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 N PROSPECT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114455",
            "telephone_number": "414-220-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "BEISSER",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "414-329-2429"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41808300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41807900",
            "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 Sep 22, 2021; 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.