Mt Castle Transitional Living Services

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

MT CASTLE TRANSITIONAL LIVING SERVICES

Practice address

3808 W Elm St
Milwaukee, WI 53209-3031

Phone

(414) 406-2802

Fax

(414) 540-1066

NPI assigned

Sep 7, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Michael Harper

Title

Director

Phone

(414) 406-2802

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1558147249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 W ELM ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532093031",
            "telephone_number": "414-406-2802",
            "fax_number": "414-540-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 W ELM ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532093031",
            "telephone_number": "414-406-2802",
            "fax_number": "414-540-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT CASTLE TRANSITIONAL LIVING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-406-2802",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foster Care Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Foster Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.