Active NPI
PH Milwaukee, LLC
- Skilled Nursing Facility
- Milwaukee, WI
National Provider Identifier
1568753705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PH MILWAUKEE, LLC
- Practice address
- 6800 N 76TH St
Milwaukee, WI 53223-5002 - Phone
- (414) 353-5000
- NPI assigned
- Apr 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Klein
- Title
- Managing Member
- Phone
- (847) 329-4100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
6800 N 76TH St
Milwaukee, WI 53223-5002
Mailing address
7444 Long Ave
Skokie, IL 60077-3214
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307318400000",
"number": "1568753705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7444 LONG AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600773214"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PH MILWAUKEE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-21",
"last_updated": "2011-06-06",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "847-329-4100"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.