Organization Active NPI

Samad's House

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1598353682
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2334689Samad's House2035 West Wells Street, Milwaukee, WI 53233Certificate of waiverNov 27, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.