NPIMap

Organization Active NPI

Meta House

  • Substance Abuse Rehabilitation Facility
  • Milwaukee, WI
National Provider Identifier
1790088896
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
META HOUSE
Practice address
2618 N Bremen St
Milwaukee, WI 53212-3003
Phone
(414) 962-1200
Fax
(414) 372-9287
NPI assigned
Dec 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

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

Authorized official

Name
Ms. Christine Ann Ullstrup, LCSW, CSAC, ICSNPI 1780980037
Title
Director of Programs
Phone
(414) 977-5871

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X WI Primary

Addresses

Primary practice location

2618 N Bremen St
Milwaukee, WI 53212-3003

Mailing address

2618 N Bremen St
Milwaukee, WI 53212-3003
Phone (414) 962-1200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151019000046 WI Part B Supplier - Clinic/Group Practice 1254640048 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Milwaukee, WI

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Meta House3 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

2618 N Bremen St
Milwaukee, WI 53212
Phone (414) 962-1200

2625 N Weil St
Milwaukee, WI 53212
Phone (414) 962-1200

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1790088896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 N BREMEN ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123003",
            "telephone_number": "414-962-1200",
            "fax_number": "414-372-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 N BREMEN ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123003",
            "telephone_number": "414-962-1200",
            "fax_number": "414-372-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "META HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "ULLSTRUP",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF PROGRAMS",
        "authorized_official_telephone_number": "414-977-5871",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, CSAC, ICS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "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 Dec 10, 2010; 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.