NPIMap

Organization Active NPI

Franciscan Villa of South Milwaukee, Inc.

  • Skilled Nursing Facility
  • South Milwaukee, WI
National Provider Identifier
1437156676
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2185 Issued in WI
Legal business name
FRANCISCAN VILLA OF SOUTH MILWAUKEE, INC.
Practice address
3601 S Chicago Ave
South Milwaukee, WI 53172-3708
Phone
(414) 764-4100
Fax
(414) 764-0706
NPI assigned
Jul 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Ms. Charlean Adams
Title
President
Phone
(414) 764-4100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Skilled Nursing Facility 314000000X 2185 WI Primary

Addresses

Primary practice location

3601 S Chicago Ave
South Milwaukee, WI 53172-3708

Mailing address

3601 S Chicago Ave
South Milwaukee, WI 53172-3708
Phone (414) 764-4100

Other identifiers 1

IdentifierTypeStateIssuer
20152200MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
CHI Living Communties19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1437156676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 S CHICAGO AVE",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531723708",
            "telephone_number": "414-764-4100",
            "fax_number": "414-764-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S CHICAGO AVE",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531723708",
            "telephone_number": "414-764-4100",
            "fax_number": "414-764-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN VILLA OF SOUTH MILWAUKEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "CHARLEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-764-4100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20152200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.