NPIMap

Organization Active NPI

Wisconsin Community Services, Inc-Joshua Glover RRC

  • Substance Abuse Rehabilitation Facility
  • Milwaukee, WI
National Provider Identifier
1841964970
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
WISCONSIN COMMUNITY SERVICES, INC-JOSHUA GLOVER RRC
Practice address
2404 N 50TH St
Milwaukee, WI 53210-2814
Phone
(414) 442-3700
NPI assigned
Aug 3, 2021
Last updated
Feb 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Joy Fitzsimons
Title
Program Director
Phone
(414) 442-3700

Specialties & licenses 1

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

Addresses

Primary practice location

2404 N 50TH St
Milwaukee, WI 53210-2814

Mailing address

2404 N 50TH St
Milwaukee, WI 53210-2814
Phone (414) 442-3700

National Provider Directory

National Provider Directory
Tax ID family
Wisconsin Community Services Inc Drug Evaluation Laboratory7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

2404 N 50th St
Milwaukee, WI 53210
Phone (414) 442-3700

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1841964970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 N 50TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102814",
            "telephone_number": "414-442-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 N 50TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102814",
            "telephone_number": "414-442-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN COMMUNITY SERVICES, INC-JOSHUA GLOVER RRC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "FITZSIMONS",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "414-442-3700"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "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 Feb 13, 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.