Organization Active NPI

Center for Quality Community Life, Inc.

  • Case Management Agency
  • Milwaukee, WI
National Provider Identifier
1861740771
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Aug 27, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1891009551MedicaidWI

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.