NPIMap

Organization Active NPI

Social Rehabilitation and Residential Resources, Inc.

  • Substance Abuse Rehabilitation Facility
  • West Allis, WI
National Provider Identifier
1407160831
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
15542131 Issued in WI
Legal business name
SOCIAL REHABILITATION AND RESIDENTIAL RESOURCES, INC.
Practice address
2187 S 85TH St
West Allis, WI 53227-1747
Phone
(414) 321-2648
Fax
(414) 321-2676
NPI assigned
Jul 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Jody Halfon, APSW, MSW, CSAC, ICS
Title
Director of Clinical Operations
Phone
(414) 546-6880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 15542131 WI Primary

Addresses

Primary practice location

2187 S 85TH St
West Allis, WI 53227-1747

Mailing address

10201 W Lincoln Ave
Suite 102
West Allis, WI 53227-2136
Phone (414) 546-6880

National Provider Directory

National Provider Directory
Tax ID family
Social Rehabilitation and Residential Resources Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1407160831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 W LINCOLN AVE",
            "address_2": "SUITE 102",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272136",
            "telephone_number": "414-546-6880",
            "fax_number": "414-546-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2187 S 85TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271747",
            "telephone_number": "414-321-2648",
            "fax_number": "414-321-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL REHABILITATION AND RESIDENTIAL RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "HALFON",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "414-546-6880",
        "authorized_official_credential": "APSW, MSW, CSAC, ICS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WI",
            "license": "15542131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.