Organization Active NPI

My Dwelling Place, LLC

  • Respite Care
  • Milwaukee, WI
National Provider Identifier
1336830926
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
MY DWELLING PLACE, LLC
Practice address
4736 W Scranton PL
Milwaukee, WI 53216-2959
Phone
(414) 303-5787
NPI assigned
May 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Tarina DoddsNPI 1083312524
Title
Respite Care
Phone
(414) 303-5787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

4736 W Scranton PL
Milwaukee, WI 53216-2959

Mailing address

4736 W Scranton PL
Milwaukee, WI 53216-2959
Phone (414) 303-5787

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1336830926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4736 W SCRANTON PL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162959",
            "telephone_number": "414-303-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4736 W SCRANTON PL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162959",
            "telephone_number": "414-303-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DWELLING PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "DODDS",
        "authorized_official_first_name": "TARINA",
        "authorized_official_title_or_position": "RESPITE CARE",
        "authorized_official_telephone_number": "414-303-5787"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "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 May 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.