Methu Adult Family Care Home II

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

0015250 Issued in WI

Legal business name

METHU ADULT FAMILY CARE HOME II

Practice address

2824 N 59TH St
Milwaukee, WI 53210-1504

Phone

(414) 466-8930

Fax

(414) 873-4501

NPI assigned

Oct 23, 2014

Last updated

Oct 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Mwangi Methu

Title

President

Phone

(414) 466-8930

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1942605670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 N 55TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101563",
            "telephone_number": "414-466-8930",
            "fax_number": "414-873-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 N 59TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101504",
            "telephone_number": "414-466-8930",
            "fax_number": "414-873-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHU ADULT FAMILY CARE HOME II",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "METHU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MWANGI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-466-8930",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "WI",
            "license": "0015250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WISCONSIN",
            "identifier": "0015250",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shyvon S Metcalf
• Vanessa Metellus, MD
• Methodist Manor Health Center Inc. (Olsen Medical Clinic - Trinity)
• Methodist Manor Health Center, Inc. (Manor Pharmacy - Trinity)
• Methodist Manor of Waukesha, Inc. (Ruth Hospice)
• Metro Care Home Medical Center, Inc. (Metrocare Home Medical Equipment, Inc.)
• Metro Chiropractic, LLC
• Metro Eye Complete Family Eyecare SC (Metro Eye)
• Metro Home Health Care LLC
• Metro Home Health Services, Inc.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.