Active NPI
Vin Baker Recovery LLC
- Methadone Clinic
- Milwaukee, WI
National Provider Identifier
1649951708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- VIN BAKER RECOVERY LLC
- Practice address
- 4757 N 76TH St
Milwaukee, WI 53218-4732 - Phone
- (866) 827-7342
- NPI assigned
- Jul 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Errico
- Title
- President
- Phone
- (727) 301-3070
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Methadone Clinic | 261QM2800X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
4757 N 76TH St
Milwaukee, WI 53218-4732
Mailing address
4757 N 76TH St
Milwaukee, WI 53218-4732
Phone (866) 827-7342
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2297845 | Vin Baker Recovery LLC | Certificate of waiver | Jan 22, 2028 |
National Provider Directory
National Provider DirectoryLocations
4757 N 76th St
Milwaukee, WI 53218
Phone (414) 358-4145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690761600000",
"number": "1649951708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4757 N 76TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532184732",
"telephone_number": "866-827-7342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4757 N 76TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532184732",
"telephone_number": "866-827-7342"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIN BAKER RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-31",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A",
"authorized_official_last_name": "ERRICO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-301-3070",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.