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ST ANN CENTER FOR INTERGENERATIONAL CARE INC NPI 1629079132


NPI Information

NPI: 1629079132
Provider Name: ST ANN CENTER FOR INTERGENERATIONAL CARE INC

Doing Business As: ST. ANN CENTER

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
2801 E MORGAN AVE
MILWAUKEE, WI
ZIP 53207
Phone: (414) 977-5000
Get Directions

ST ANN CENTER FOR INTERGENERATIONAL CARE INC is an adult day care clinic center in Milwaukee, WI. ST ANN CENTER FOR INTERGENERATIONAL CARE INC NPI is 1629079132. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Ann Center.

The provider's business location address is:

2801 E MORGAN AVE
MILWAUKEE, WI
ZIP 53207-771
Phone: (414) 977-5000
Fax: (414) 977-5050

The provider's authorized official is Edna Lonergan .
The authorized official title is President and has the following contact phone number (414) 977-5000.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 3/3/2021.


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
1164W00000XLicensed Practical Nurse7033-031WISCONSINNo
2225X00000XOccupational Therapist685-026WISCONSINNo
3261QA0600XClinic/CenterAdult Day CareYes

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
141812200MEDICAIDWISCONSIN

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

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