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MILESTONE SENIOR LIVING LLC NPI 1780907261


NPI Information

NPI: 1780907261
Provider Name: MILESTONE SENIOR LIVING LLC
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

CLIA Number: 52D2054669

Address:
1574 W. BROADWAY,
MADISON, WI
ZIP 53713
Phone: (608) 819-2200
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MILESTONE SENIOR LIVING LLC is an assisted living and mental illness assisted living facility in Madison, WI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. MILESTONE SENIOR LIVING LLC NPI is 1780907261. The provider is registered as an organization entity type.

The provider's business location address is:

1574 W. BROADWAY,
MADISON, WI
ZIP 53713
Phone: (608) 819-2200

The provider's authorized official is Julie Heil .
The authorized official title is Coo and has the following contact phone number (608) 819-2220.

The CLIA number assigned to this NPI record is 52D2054669 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/11/2010 and was last updated on 3/11/2010.


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
13104A0625XAssisted Living FacilityAssisted Living, Mental Illness3104A0625WISCONSINYes

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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