NPIMap

Organization Active NPI

Wisconsin Lutheran Child & Family Services, Inc

Doing business as Wisconsin Lutheran Care Center

  • Skilled Nursing Facility
  • Milwaukee, WI
National Provider Identifier
1447223524
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2179 Issued in WI
Legal business name
WISCONSIN LUTHERAN CHILD & FAMILY SERVICES, INC
Doing business as
Wisconsin Lutheran Care Center
Practice address
6800 N 76TH St
Milwaukee, WI 53223-5002
Phone
(414) 353-5000
Fax
(414) 353-5506
NPI assigned
Feb 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Tanck
Title
Administrator
Phone
(414) 353-5005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2179 WI Primary

Addresses

Primary practice location

6800 N 76TH St
Milwaukee, WI 53223-5002

Mailing address

6800 N 76TH St
Milwaukee, WI 53223-5002
Phone (414) 353-5000

Other identifiers 2

IdentifierTypeStateIssuer
20132300MedicaidWI
71-00024OtherWIEVERCARE PROVIDER NUMBER

Other names 1

  • Wisconsin Lutheran Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447223524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532235002",
            "telephone_number": "414-353-5000",
            "fax_number": "414-353-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532235002",
            "telephone_number": "414-353-5000",
            "fax_number": "414-353-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN LUTHERAN CHILD & FAMILY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TANCK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-353-5005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20132300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE PROVIDER NUMBER",
            "identifier": "71-00024",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wisconsin Lutheran Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.