GWENMAR LLC NPI 1962396556

NPI Information

  • NPI: 1962396556
  • Provider Name: GWENMAR LLC
  • Classification: Respite Care - 385HR2055X
  • Specialization: Respite Care, Mental Illness, Child
  • Entity Type: Organization
  • Address: 4230 N 53RD ST
    MILWAUKEE, WI
    ZIP 53216
  • Phone: (414) 699-3518

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NPI Details

GWENMAR LLC is a respite care and mental illness and child respite care in Milwaukee, WI. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. GWENMAR LLC NPI is 1962396556. The provider is registered as an organization entity type.

The provider's business location address is:

4230 N 53RD ST
MILWAUKEE, WI
ZIP 53216-343
Phone: (414) 699-3518
Fax: (520) 423-3901

The provider's authorized official is Gwenlodyn Moss .
The authorized official title is Owner and has the following contact phone number (414) 699-3518.

The enumeration date for this NPI number is 6/6/2025 and was last updated on 6/6/2025.

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
1374U00000XHome Health AideNo
2253Z00000XIn Home Supportive CareNo
3385HR2055XRespite CareRespite Care, Mental Illness, ChildYes

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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