Cecelia Senior Homes of West Allis, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

14655-20 Issued in WI

Legal business name

CECELIA SENIOR HOMES OF WEST ALLIS, INC.

Practice address

1437 N Summit Ave
Oconomowoc, WI 53066-9461

Phone

(414) 322-1434

NPI assigned

Oct 31, 2014

Last updated

Oct 31, 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

Dr. Gerald J Kallas, M.D.NPI 1770959462

Title

Medical Director

Phone

(262) 695-6408

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerald J. Kallas, M.D.

  • Internal Medicine Physician
  • Oconomowoc, WI
  • NPI 1770959462
  NPD (past) Authorized official

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1992100044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 N SUMMIT AVE",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530669461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 N SUMMIT AVE",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530669461",
            "telephone_number": "414-322-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECELIA SENIOR HOMES OF WEST ALLIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "KALLAS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "262-695-6408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "14655-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian J Camus, OD
• Samuel Cares, PHD, LP
• Christina Cass, LMT
• Megan Cassidy, LPC
• Paige Cavers, OTD, OTR/L
• Center for Anxiety Disorders
• Central Otologic LTD
• Jeffrey Ceschi, M.D.
• Pamela Chesky Johnson, MAED, NCC
• Kelsey Chin, DDS

• Assisted Living Facility in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.