Provider Type Icon

ST ROSE YOUTH & FAMILY CENTER INC NPI 1356508535


NPI Information

NPI: 1356508535
Provider Name: ST ROSE YOUTH & FAMILY CENTER INC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
3801 N 88TH ST
MILWAUKEE, WI
ZIP 53222
Phone: (414) 466-9450
Get Directions

ST ROSE YOUTH & FAMILY CENTER INC is a residential treatment facility emotionally disturbed children in Milwaukee, WI. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. ST ROSE YOUTH & FAMILY CENTER INC NPI is 1356508535. The provider is registered as an organization entity type.

The provider's business location address is:

3801 N 88TH ST
MILWAUKEE, WI
ZIP 53222-706
Phone: (414) 466-9450
Fax: (414) 466-0730

The provider's authorized official is Jessica J Waldron .
The authorized official title is Director Of Treatment And Comm Svc and has the following contact phone number (414) 466-9450.

The enumeration date for this NPI number is 5/16/2008 and was last updated on 5/16/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children265012WISCONSINYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
143017200MEDICAIDWISCONSIN

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

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.