Organization Active NPI

Gwenmar LLC

  • Child Mental Illness Respite Care
  • Milwaukee, WI
National Provider Identifier
1962396556
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Mental Illness Respite CareTaxonomy code 385HR2055X
Legal business name
GWENMAR LLC
Practice address
4230 N 53Rd St
Milwaukee, WI 53216-1343
Phone
(414) 699-3518
Fax
(520) 423-3901
NPI assigned
Jun 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Authorized official

Name
Mrs. Gwenlodyn Moss
Title
Owner
Phone
(414) 699-3518

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Home Health Aide 374U00000X
Child Mental Illness Respite Care 385HR2055X Primary

Addresses

Primary practice location

4230 N 53Rd St
Milwaukee, WI 53216-1343

Mailing address

4230 N 53Rd St
Milwaukee, WI 53216-1343
Phone (414) 699-3518

Other names 1

  • GwenMar LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1962396556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 N 53RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161343",
            "telephone_number": "414-699-3518",
            "fax_number": "520-423-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 N 53RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161343",
            "telephone_number": "414-699-3518",
            "fax_number": "520-423-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWENMAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "GWENLODYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-699-3518",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GwenMar LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 6, 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.

Verify at the official NPI Registry.