Organization Active NPI

Bryant Homes, LLC.

  • Mental Illness Community Based Residential Treatment Facility
  • New Berlin, WI
National Provider Identifier
1356618672
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
BRYANT HOMES, LLC.
Practice address
12501 W Needham Dr
New Berlin, WI 53151-1847
Phone
(414) 241-7067
NPI assigned
Dec 1, 2011
Last updated
Dec 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Mrs. Candace Dahlke, L.P.N.
Title
Owner
Phone
(414) 241-7067

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X NU
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

12501 W Needham Dr
New Berlin, WI 53151-1847

Mailing address

12501 W. Needham Dr.
New Berlin, WI 53151
Phone (414) 241-7067

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1356618672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 W. NEEDHAM DR.",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "53151",
            "telephone_number": "414-241-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 W NEEDHAM DR",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531511847",
            "telephone_number": "414-241-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANT HOMES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "DAHLKE",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-241-7067",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.P.N."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.