Active NPI
Center for Quality Community Life, Inc.
- Case Management Agency
- Milwaukee, WI
National Provider Identifier
1861740771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- CENTER FOR QUALITY COMMUNITY LIFE, INC.
- Practice address
- 6830 W Villard Ave
Milwaukee, WI 53218-3968 - Phone
- (414) 464-0578
- Fax
- (414) 464-1315
- NPI assigned
- Aug 27, 2012
- 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
- Mrs. Kathryn Ann Carter
- Title
- Ceo
- Phone
- (414) 464-0578
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
6830 W Villard Ave
Milwaukee, WI 53218-3968
Mailing address
6830 W Villard Ave
Milwaukee, WI 53218-3968
Phone (414) 464-0578
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891009551 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
6830 W Villard Ave
Ste 300
Milwaukee, WI 53218
Phone (414) 464-0578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346025600000",
"number": "1861740771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6830 W VILLARD AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532183968",
"telephone_number": "414-464-0578",
"fax_number": "414-464-1315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6830 W VILLARD AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532183968",
"telephone_number": "414-464-0578",
"fax_number": "414-464-1315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR QUALITY COMMUNITY LIFE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-27",
"last_updated": "2012-08-27",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "KATHRYN",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "414-464-0578",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891009551",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
- Center for Family Preservation
- Center for Neurological Disorders, SC
- Center for Pain Management, SC
- Center for Quality Community Life Inc.
- Center for Quality Community Life, Inc.
- Center of Being LLC
- Center of Care
- Center of Life Adult Family Home LLC
- Centered Therapy Mke, LLC
- Central Medical Clinic, S.C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.