NPIMap

Organization Active NPI

St Ann Center for Intergenerational Care Inc

Doing business as St. Ann Center

  • Adult Day Care Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1629079132
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ST ANN CENTER FOR INTERGENERATIONAL CARE INC
Doing business as
St. Ann Center
Practice address
2801 E Morgan Ave
Milwaukee, WI 53207-3771
Phone
(414) 977-5000
Fax
(414) 977-5050
NPI assigned
Aug 9, 2005
Last updated
Mar 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Edna LonerganNPI 1467780601
Title
President
Phone
(414) 977-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X 7033-031 WI
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 685-026 WI
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

2801 E Morgan Ave
Milwaukee, WI 53207-3771

Mailing address

2801 E Morgan Ave
Milwaukee, WI 53207-3771
Phone (414) 977-5000

Other practice location 1

2450 W North Ave
Milwaukee, WI 53205-1001
Phone (414) 210-2450

Other identifiers 1

IdentifierTypeStateIssuer
41812200MedicaidWI

Other names 1

  • St. Ann Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050830000323 WI Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 5496792665 Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory
Tax ID family
St Ann Ctr Fam SPPT Cli3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2801 E Morgan Ave
Milwaukee, WI 53207
Phone (414) 977-5000

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1629079132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 E MORGAN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532073771",
            "telephone_number": "414-977-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 E MORGAN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532073771",
            "telephone_number": "414-977-5000",
            "fax_number": "414-977-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532051001",
            "country_code": "US",
            "telephone_number": "414-210-2450",
            "fax_number": "414-210-2440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST ANN CENTER FOR INTERGENERATIONAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2021-03-03",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "LONERGAN",
        "authorized_official_first_name": "EDNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-977-5000"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "7033-031",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "685-026",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41812200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Ann Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Ann Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.