Milwauke Nursing and Rehab LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MILWAUKE NURSING AND REHAB LLC

Practice address

3200 S 20TH St
Milwaukee, WI 53215-4442

Phone

(414) 389-3200

NPI assigned

Jun 20, 2024

Organization subpart

No

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

Authorized official

Name

Jacob Jeidel

Title

Member

Phone

(917) 750-5089

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1669216024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 S 20TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S 20TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154442",
            "telephone_number": "414-389-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKE NURSING AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "JEIDEL",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-750-5089"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Vee Milner, LCSW
• Staci Lynne Milosavljevic, M.D.
• Milosh Grubor, M.D., S.C.
• Mark Milshteyn, M.D.
• Milwakee Health Service Systems LL
• Milwaukee Academy of Science
• Milwaukee Acupuncture and Wellness, LLC
• Milwaukee Advanced Physical Therapy, LLC
• Milwaukee Affiliated Chiropractic Services, Inc.
• Milwaukee Area Transportation Service Inc

• Skilled Nursing Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.