Active NPI
Vikas Patel
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- South Milwaukee, WI
National Provider Identifier
1871316117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Practice address
- 1718 Poplar Ave
South Milwaukee, WI 53172-1041 - Phone
- (414) 232-1944
- NPI assigned
- Nov 5, 2024
- Last updated
- Aug 4, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NU | Primary |
Addresses
Primary practice location
1718 Poplar Ave
South Milwaukee, WI 53172-1041
Mailing address
2177 E Montana Ave
Oak Creek, WI 53154-2433
Phone (414) 232-1944
Other practice location 1
1200 Woodruff Rd Bldg A3
Suite 194
Greenville, SC 29607
Phone (414) 232-1944
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310400000X | Other | WI | TRANSPORTATION |
| 251X00000X | Other | DAILY LIVING SKILLS | |
| 251X00000X | Other | PERSONAL CARE SEVICES | |
| 310400000X | Other | RESIDENTIAL SERVICES-BED ADULT FAMILY HOME | |
| 251X00000X | Other | FINANCIAL MANAGEMENT SERVICES | |
| 333300000X | Other | PERS | |
| 310400000X | Other | RESPITE | |
| 174200000X | Other | MEDICALLY TAILORED MEALS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1871316117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2177 E MONTANA AVE",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531542433",
"telephone_number": "414-232-1944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 POPLAR AVE",
"city": "SOUTH MILWAUKEE",
"state": "WI",
"postal_code": "531721041",
"telephone_number": "414-232-1944"
}
],
"practiceLocations": [
{
"address_1": "1200 Woodruff Rd Bldg A3",
"address_2": "Suite 194",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "29607",
"country_code": "US",
"telephone_number": "414-232-1944",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "VIKAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-05",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRANSPORTATION",
"identifier": "310400000X",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAILY LIVING SKILLS",
"identifier": "251X00000X",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CARE SEVICES",
"identifier": "251X00000X",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESIDENTIAL SERVICES-BED ADULT FAMILY HOME",
"identifier": "310400000X",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FINANCIAL MANAGEMENT SERVICES",
"identifier": "251X00000X",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERS",
"identifier": "333300000X",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESPITE",
"identifier": "310400000X",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICALLY TAILORED MEALS",
"identifier": "174200000X",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.