Active NPI
Saint John'S Communities, Inc.
- Clinic/Center
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
- 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.
-
- Skilled Nursing Facility
- Milwaukee, WI
- NPI 1295866325
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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Saint Johns on the Lake | 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.
-
- Skilled Nursing Facility
- Milwaukee, WI
- NPI 1295866325
Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control
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.
-
- Skilled Nursing Facility
- Milwaukee, WI
- NPI 1295866325
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Milwaukee, WI
- NPI 1598026262
-
- Nurse Practitioner
- Milwaukee, WI
- NPI 1700287356
-
- Adult Health Nurse Practitioner
- Milwaukee, WI
- NPI 1871829531
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.