NPIMap

Organization Active NPI

United Community Center

  • Substance Abuse Rehabilitation Facility
  • Milwaukee, WI
National Provider Identifier
1467609776
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1949 Issued in WI
Legal business name
UNITED COMMUNITY CENTER
Practice address
1111 S 6TH St
Milwaukee, WI 53204-2301
Phone
(414) 643-8530
Fax
(414) 647-8602
NPI assigned
Aug 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Mrs. Cindy Kay Suszek, MS SAP CTS CEAP
Title
Director of Human Services
Phone
(414) 649-1922

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1657 WI
Substance Abuse Rehabilitation Facility 324500000X 1949 WI Primary

Addresses

Primary practice location

1111 S 6TH St
Milwaukee, WI 53204-2301

Mailing address

1111 S 6TH St
Milwaukee, WI 53204-2301
Phone (414) 643-8530

Other identifiers 2

IdentifierTypeStateIssuer
42183900MedicaidWI
43008400MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
United Community Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1467609776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 S 6TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532042301",
            "telephone_number": "414-643-8530",
            "fax_number": "414-647-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S 6TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532042301",
            "telephone_number": "414-643-8530",
            "fax_number": "414-647-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "SUSZEK",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DIRECTOR OF HUMAN SERVICES",
        "authorized_official_telephone_number": "414-649-1922",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS SAP CTS CEAP"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WI",
            "license": "1657",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WI",
            "license": "1949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42183900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43008400",
            "state": "WI"
        }
    ],
    "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 Aug 19, 2008; 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.