NPIMap

Organization Active NPI

Destani'S Child Medical Daycare, Inc

  • Nursing Care Agency
  • Milwaukee, WI
National Provider Identifier
1831439264
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
109525 Issued in WI
Legal business name
DESTANI'S CHILD MEDICAL DAYCARE, INC
Practice address
3062 N 58TH St
Suite 200
Milwaukee, WI 53210-1545
Phone
(414) 217-2495
Fax
(414) 445-3893
NPI assigned
Feb 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Mrs. Janice M Gorden, RN
Title
Executive Director
Phone
(414) 217-2495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 109525 WI Primary

Addresses

Primary practice location

3062 N 58TH St
Suite 200
Milwaukee, WI 53210-1545

Mailing address

3062 N 58TH St
Milwaukee, WI 53210-1545
Phone (141) 217-2495

National Provider Directory

National Provider Directory
Tax ID family
Destani'S Child Medical Day Care Provider Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1831439264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3062 N 58TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101545",
            "telephone_number": "141-217-2495",
            "fax_number": "414-445-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3062 N 58TH ST",
            "address_2": "SUITE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101545",
            "telephone_number": "414-217-2495",
            "fax_number": "414-445-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTANI'S CHILD MEDICAL DAYCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "GORDEN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-217-2495",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "WI",
            "license": "109525",
            "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 Feb 21, 2013; 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.