Active NPI
Samad's House
- Substance Use Disorder Rehabilitation Clinic/Center
- Milwaukee, WI
National Provider Identifier
1598353682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- SAMAD'S HOUSE
- Practice address
- 2035 W Wells St
Milwaukee, WI 53233-1920 - Phone
- (414) 595-6501
- NPI assigned
- Jan 5, 2021
- Last updated
- Mar 26, 2025
- 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
- Ms. Raqiba Malik
- Title
- Chief Executive Officer
- Phone
- (414) 301-0020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
2035 W Wells St
Milwaukee, WI 53233-1920
Mailing address
2875 N 23Rd St
Milwaukee, WI 53206-1646
Phone (414) 595-6501
Other practice location 1
2875 N 23rd St
Milwaukee, WI 53206-1646
Phone (414) 595-6501
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2334689 | Samad's House | Certificate of waiver | Nov 27, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742947200000",
"number": "1598353682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2875 N 23RD ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532061646",
"telephone_number": "414-595-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2035 W WELLS ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532331920",
"telephone_number": "414-595-6501"
}
],
"practiceLocations": [
{
"address_1": "2875 N 23rd St",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532061646",
"country_code": "US",
"telephone_number": "414-595-6501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SAMAD'S HOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-05",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A",
"authorized_official_last_name": "MALIK",
"authorized_official_first_name": "RAQIBA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "414-301-0020",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"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 Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.