EASTER SEALS SOUTHEAST WISCONSIN (NPI# 1164664603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164664603 |
Entity Type | Organization |
Organization Name | EASTER SEALS SOUTHEAST WISCONSIN |
Practice Address |
505 Northview Road Waukesha WI 53188 |
Mailing Address |
2222 S. 114th Street West Allis WI 53227 |
Practice Telephone | 2625476821 |
Practice Fax Number | 2625476883 |
Mailing Telephone | 4144494444 |
Mailing Fax Number | 4145715568 |
Enumeration Date | 2009-03-30 |
Last Update Date | 2017-03-20 |
Authorized Official Name | MICHELLE SCHAEFER (COO) |
Authorized Official Telephone | 4149635902 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | 1827800 | WI | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649778861 | Easter Seals Southeast Wisconsin | Day Training, Developmentally Disabled Services | 7101 53rd St, Kenosha, WI 53144-7848 | 2018-01-23 |
1912448283 | Easter Seals Southeast Wisconsin | Day Training, Developmentally Disabled Services | 1120 Baxter St, Waukesha, WI 53186-3884 | 2017-03-20 |
1053852079 | Easter Seals Southeast Wisconsin | Day Training, Developmentally Disabled Services | 201 Wisconsin Ave, Waukesha, WI 53186-4926 | 2017-03-09 |
1073839528 | Easter Seals Southeast Wisconsin | Respite Care | 1016 Milwaukee Ave, South Milwaukee, WI 53172-2006 | 2010-04-08 |
1265973283 | Easter Seals Southeast Wisconsin | Day Training, Developmentally Disabled Services | 207 Lake Dr, South Milwaukee, WI 53172-1210 | 2017-03-09 |
1396037511 | Easter Seals Southeast Wisconsin | Community/Behavioral Health | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2011-05-05 |
Street Address |
505 NORTHVIEW ROAD |
City | WAUKESHA |
State | WI |
Zip Code | 53188 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
Find all providers in zip 53188 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912448283 | Easter Seals Southeast Wisconsin | Day Training, Developmentally Disabled Services | 1120 Baxter St, Waukesha, WI 53186-3884 | 2017-03-20 |
1053852079 | Easter Seals Southeast Wisconsin | Day Training, Developmentally Disabled Services | 201 Wisconsin Ave, Waukesha, WI 53186-4926 | 2017-03-09 |
1912157223 | Supportive Home Living Services, Inc. | Day Training, Developmentally Disabled Services | 250 W Broadway Ste 2, Waukesha, WI 53186-4848 | 2008-09-23 |
1154505113 | Le Ann Le Blanc | Day Training, Developmentally Disabled Services | S31 W28251 Sunset Drive, Waukesha, WI 53189 | 2007-12-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346863180 | Vitality Youth Services, LLC | Day Training, Developmentally Disabled Services | 726 12th Ave, Monroe, WI 53566-1435 | 2020-05-27 |
1568096394 | Lisa Roberta Meyer | Day Training, Developmentally Disabled Services | 325 S. Military Rd., Stockbridge, WI 53088 | 2020-03-02 |
1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
1144797739 | Able Residential & Community Options, LLC | Day Training, Developmentally Disabled Services | 909 S 29th St, Manitowoc, WI 54220-4461 | 2018-11-01 |
1902386055 | Islands of Brilliance | Day Training, Developmentally Disabled Services | 415 E Menomonee St, Milwaukee, WI 53202-6117 | 2018-08-17 |
1790275378 | United Communities Adult Daycare Service Inc | Day Training, Developmentally Disabled Services | 5330 W Lisbon Ave, Milwaukee, WI 53210-2751 | 2018-05-18 |
1649778861 | Easter Seals Southeast Wisconsin | Day Training, Developmentally Disabled Services | 7101 53rd St, Kenosha, WI 53144-7848 | 2018-01-23 |
1437694338 | Bekus Adult Day Program LLC | Day Training, Developmentally Disabled Services | 4425 N 63rd St, Milwaukee, WI 53218-5548 | 2016-12-31 |
1477958510 | Holiday House of Manitowoc County, Inc. | Day Training, Developmentally Disabled Services | 2818 Meadow Ln, Manitowoc, WI 54220-3739 | 2014-10-31 |
1992081954 | Nrs Services, LLC | Day Training, Developmentally Disabled Services | 9401 W Beloit Rd Ste 416, Milwaukee, WI 53227-4357 | 2011-10-22 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on EASTER SEALS SOUTHEAST WISCONSIN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.