NPIMap

Organization Active NPI

Deerwood Manor

  • Assisted Living Facility
  • Brown Deer, WI
National Provider Identifier
1609449198
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DEERWOOD MANOR
Practice address
8341 N 67TH St
Brown Deer, WI 53223-3306
Phone
(414) 678-8429
NPI assigned
Jul 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Zarlesia Patterson
Title
Owner/Licensee
Phone
(414) 678-8429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

8341 N 67TH St
Brown Deer, WI 53223-3306

Mailing address

8341 N 67TH St
Brown Deer, WI 53223-3306
Phone (414) 678-8429

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1609449198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8341 N 67TH ST",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532233306",
            "telephone_number": "414-678-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8341 N 67TH ST",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532233306",
            "telephone_number": "414-678-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERWOOD MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "ZARLESIA",
        "authorized_official_title_or_position": "OWNER/LICENSEE",
        "authorized_official_telephone_number": "414-678-8429"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brown Deer, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.