Saint Gabriel;S Church O God in Christ

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SAINT GABRIEL;S CHURCH O GOD IN CHRIST

Practice address

5375 N 37TH St
Milwaukee, WI 53209-4729

Phone

(414) 795-6397

Fax

(414) 578-2862

NPI assigned

Jan 5, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Lee A. Shaw

Title

Administrator

Phone

(414) 795-6397

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1336505544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 N STANTON DR",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532094341",
            "telephone_number": "414-795-6397",
            "fax_number": "414-578-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5375 N 37TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532094729",
            "telephone_number": "414-795-6397",
            "fax_number": "414-578-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT GABRIEL;S CHURCH O GOD IN CHRIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-795-6397",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamal Sahloul, DDS
• Ebram Farah Hana Said, MD
• Jeries Hani Said, MD
• Michael David Saindon, MD
• Saint Francis School District
• Saint John'S Communities, Inc.
• Saint John'S Communities, Inc.
• Miranda Saitoski, DDS
• Murtaza Makbul Sajan, DDS
• Shabbar Sajjad, MD

• Adult Day Care Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Adult Day Care Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.