STELLAR CARE LLC NPI 1750958104

NPI Information

  • NPI: 1750958104
  • Provider Name: STELLAR CARE LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: STELLAR CARE
  • Address: 10625 W NORTH AVE STE 230
    MILWAUKEE, WI
    ZIP 53226
  • Phone: (414) 249-5698

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NPI Details

STELLAR CARE LLC is a clinic center in Milwaukee, WI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). STELLAR CARE LLC NPI is 1750958104. The provider is registered as an organization entity type.
The provider Is Doing Business As Stellar Care.

The provider's business location address is:

10625 W NORTH AVE STE 230
MILWAUKEE, WI
ZIP 53226-315
Phone: (414) 249-5698
Fax: (320) 207-5719

The provider's authorized official is Shanna Marie Johnson .
The authorized official title is President and has the following contact phone number (414) 573-0179.

The enumeration date for this NPI number is 6/4/2021 and was last updated on 5/30/2024.

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
1261Q00000XClinic/CenterYes
2363LF0000XNurse PractitionerFamilyNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

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
11386940575MEDICAIDWISCONSIN

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: 11/21/2025

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