Active NPI
Gwenmar LLC
- Child Mental Illness Respite Care
- Milwaukee, WI
National Provider Identifier
1962396556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Mental Illness Respite Care
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.