Organization Active NPI

Saint John'S Communities, Inc.

  • Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1609321173
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SAINT JOHN'S COMMUNITIES, INC.
Practice address
1840 N Prospect Ave
Milwaukee, WI 53202-1975
Phone
(414) 272-2022
Fax
(414) 212-8161
NPI assigned
Aug 24, 2016
Organization subpart
Yes
Parent organization
SAINT JOHN'S COMMUNITIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Renee E Anderson
Title
President
Phone
(414) 831-6880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1840 N Prospect Ave
Milwaukee, WI 53202-1975

Mailing address

1840 N Prospect Ave
Milwaukee, WI 53202-1975
Phone (414) 272-2022

Other names 1

  • Saint John's Communities, Inc. Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161109002310 WI Part B Supplier - Clinic/Group Practice 7113917543 Receives reassigned benefits from 3 practitioners
Practice locations: Milwaukee, WI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Saint Johns Communities Inc2 organizations share this tax ID, including this one
Part of
Saint Johns Communities Inc

Other organizations with this tax ID 1

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Saint Johns on the LakeMilwaukee, WI, CCN 525539 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)
Jul 1, 1994
Jul 1, 1994
Jul 1, 1994

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1609321173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 N PROSPECT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021975",
            "telephone_number": "414-272-2022",
            "fax_number": "414-212-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 N PROSPECT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021975",
            "telephone_number": "414-272-2022",
            "fax_number": "414-212-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOHN'S COMMUNITIES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT JOHN'S COMMUNITIES, INC.",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-831-6880"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint John's Communities, Inc. Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.