NPIMap

Organization Active NPI

Transitional Living Services, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Milwaukee, WI
National Provider Identifier
1356570501
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
TRANSITIONAL LIVING SERVICES, INC
Practice address
1040 S 70TH St
Milwaukee, WI 53214-3174
Phone
(414) 476-9675
Fax
(414) 615-0627
NPI assigned
Jul 9, 2009
Organization subpart
Yes
Parent organization
TRANSITIONAL LIVING SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Peg Dubord
Title
President and Ceo
Phone
(414) 476-9675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1040 S 70TH St
Milwaukee, WI 53214-3174

Mailing address

1040 S 70TH St
Milwaukee, WI 53214-3174
Phone (414) 476-9675

National Provider Directory

National Provider Directory
Tax ID family
Transitional Living Services Inc5 organizations share this tax ID, including this one
Part of
Transitional Living Services Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1040 S 70th St
Milwaukee, WI 53214
Phone (414) 476-9631

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1356570501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 S 70TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532143174",
            "telephone_number": "414-476-9675",
            "fax_number": "414-615-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 S 70TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532143174",
            "telephone_number": "414-476-9675",
            "fax_number": "414-615-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONAL LIVING SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRANSITIONAL LIVING SERVICES, INC",
        "enumeration_date": "2009-07-09",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "DUBORD",
        "authorized_official_first_name": "PEG",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "414-476-9675"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "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 Apr 4, 2012; 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.