JEANNETTE PONDER NPI 1356303101

NPI Information

NPI: 1356303101
Provider Name: JEANNETTE PONDER
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

Address:
3152 N 24TH PL
MILWAUKEE, WI
ZIP 53206
Phone: (414) 447-1489
Get Directions

JEANNETTE PONDER is a nursing care and pediatric skilled nursing facility in Milwaukee, WI. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. JEANNETTE PONDER NPI is 1356303101. The provider is registered as an organization entity type.

The provider's business location address is:

3152 N 24TH PL
MILWAUKEE, WI
ZIP 53206-209
Phone: (414) 447-1489

The provider's authorized official is Jeannette Ponder .
The authorized official title is Lpn Rcs and has the following contact phone number (414) 447-1489.

The enumeration date for this NPI number is 4/6/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3140N1450X	Skilled Nursing Facility	Nursing Care, Pediatric	11818	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	39973100	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »