RETRAC ENTERPRISES INC NPI 1306587167

NPI Information

NPI: 1306587167
Provider Name: RETRAC ENTERPRISES INC
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
1212 W CHAMBERS ST
MILWAUKEE, WI
ZIP 53206
Phone: (414) 395-3005
Get Directions

RETRAC ENTERPRISES INC is a residential treatment facility, intellectual and/or developmental disabilities in Milwaukee, WI. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. RETRAC ENTERPRISES INC NPI is 1306587167. The provider is registered as an organization entity type.

The provider's business location address is:

1212 W CHAMBERS ST
MILWAUKEE, WI
ZIP 53206-731
Phone: (414) 395-3005

The provider's authorized official is Amber Ellis .
The authorized official title is Owner and has the following contact phone number (414) 395-3005.

The enumeration date for this NPI number is 4/5/2022 and was last updated on 4/5/2022.

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	Primary
1	310400000X	Assisted Living Facility		No
2	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	No
3	323P00000X	Psychiatric Residential Treatment Facility		No
4	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		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	1760613327	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: 11/14/2023

NPI Synchronization or Removal

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