Carmelite Home, Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

CARMELITE HOME, INC

Practice address

1214 Kavanaugh PL
Wauwatosa, WI 53213-2506

Phone

(414) 258-4791

Fax

(414) 258-8464

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Mr. James E. Lewis, M.S.W.I.C.S.W.

Title

Director

Phone

(414) 258-4791

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carmelite Home for Boys Doing business as

Locations

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1346415445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 KAVANAUGH PL",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132506",
            "telephone_number": "414-258-4791",
            "fax_number": "414-258-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 KAVANAUGH PL",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132506",
            "telephone_number": "414-258-4791",
            "fax_number": "414-258-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMELITE HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-258-4791",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.W.I.C.S.W."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "43016800 NPI PROVIDER # (OLD)",
            "identifier": "43016800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carmelite Home for Boys",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nicole Casady, APNP
• Cashmer Counseling LLC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.