NPIMap

Organization Active NPI

Sacret Heart Rehabilitation Institute

  • Rehabilitation Hospital
  • Milwaukee, WI
National Provider Identifier
1649514951
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
3017154 Issued in WI
Legal business name
SACRET HEART REHABILITATION INSTITUTE
Practice address
2323 N Lake Dr
Milwaukee, WI 53211-4508
Phone
(414) 298-6884
NPI assigned
Nov 27, 2012
Organization subpart
Yes
Parent organization
COLUMBIA ST. MARY'S-MILWAUKEEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Debra Berrettini, O.T.
Title
Supervisor
Phone
(414) 298-6884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 3017154 WI Primary

Addresses

Primary practice location

2323 N Lake Dr
Milwaukee, WI 53211-4508

Mailing address

2323 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 298-6884

Other identifiers 1

IdentifierTypeStateIssuer
123530913MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
North Lake Medical Asso8 organizations share this tax ID, including this one
Part of
North Lake Medical Asso

Other organizations with this tax ID 7

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/idzZ7Xu4K4e6cf6O6PqH5zcqaSD8_vYU/

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1649514951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 N LAKE DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114508",
            "telephone_number": "414-298-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 N LAKE DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114508",
            "telephone_number": "414-298-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRET HEART REHABILITATION INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBIA ST. MARY'S-MILWAUKEE",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "BERRETTINI",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "414-298-6884",
        "authorized_official_credential": "O.T."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "WI",
            "license": "3017154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123530913",
            "state": "WI"
        }
    ],
    "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 Nov 27, 2012; 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.