ANS CREATIVE BEHAVIORAL SERVICES II (NPI# 1386149052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386149052 |
| Entity Type | Organization |
| Organization Name | ANS CREATIVE BEHAVIORAL SERVICES II |
| Practice Address |
1551 S 108th St Milwaukee WI 53214-4020 |
| Practice Telephone | 4144819800 |
| Practice Fax Number | 4144819808 |
| Mailing Telephone | 4144819800 |
| Mailing Fax Number | 4144819808 |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |
| Authorized Official Name | MS. KIM ELLIS (OWNER) |
| Authorized Official Telephone | 4144819800 |
| Is Organization Subpart | Y |
| Parent Organization Name | ANS CREATIVE BEHAVIORAL SOLUTIONS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1497119564 | 05 |
| Street Address |
1551 S 108TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53214-4020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770717217 | Kathleen Joyce Pape | Physical Therapist | 1551 S 108th St, Milwaukee, WI 53214-4020 | 2009-05-13 |
| 1093181117 | Ans Personal Care Services, LLC | In Home Supportive Care | 1551 S 108th St, Milwaukee, WI 53214-4020 | 2015-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740740208 | Melanie Figueroa | Counselor | West Milwaukee Ctc, 1610 Miller Park Way, West Milwaukee, WI 53214 | 2019-03-21 |
| 1619403011 | Lea Salome Denny | Counselor | 8626b W Greenfield Ave, Suite B300, West Allis, WI 53214 | 2017-05-04 |
| 1891148318 | West Allis Prescription Center Inc | Pharmacy | 6737 W Washington Ave, Suite 1100, West Allis, WI 53214 | 2016-07-20 |
| 1316390495 | Kristina Overlee | Nurse Practitioner | 6737 W. Washington Street, Suite 2150, West Allis, WI 53214 | 2016-07-13 |
| 1801239843 | Daniel Anthony Cichy | Pharmacist | 10101 W Greenfield Ave Ste 130, West Allis, WI 53214 | 2013-04-09 |
| 1295072544 | Wisconsin Vision, Inc. | Optometrist | 1220 Miller Park Way, West Milwaukee, WI 53214 | 2013-01-07 |
| 1831457720 | Kevin Konieczka | Physical Therapist | 1224 Miller Parkway, Milwaukee, WI 53214 | 2012-04-27 |
| 1497031843 | Jill Elizabeth Gerou | Registered Nurse | 8420 West Greenfield Ave, Apartment #7, West Allis, WI 53214 | 2011-10-31 |
| 1700176815 | Carolyn Hasek | Counselor | 1126 S 70th St Ste 112-113, West Allis, WI 53214 | 2011-04-10 |
| 1972802775 | Barbara Smith | Licensed Practical Nurse | 651 S 63 St, Apt1, Milwaukee, WI 53214 | 2011-03-18 |
| Find all providers in zip 53214 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747518 | Rasha Iman Moore | Assisted Living Facility | 6112 N 37th St, Milwaukee, WI 53209-3611 | 2020-10-11 |
| 1083077713 | A Nurturing Home Away From Home Inc. | Assisted Living Facility | 8225 N 107th St, Milwaukee, WI 53224-2517 | 2016-03-31 |
| 1407037856 | Abundant Life Ministry | Assisted Living Facility | 1904 E Belleview Pl, Milwaukee, WI 53211-3901 | 2007-11-14 |
| 1568438265 | M.a.t.c.h. | Assisted Living Facility | 2902 N 1st St, Milwaukee, WI 53212-2406 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421308 | Limitless Possibilities LLC | Assisted Living Facility | 302 S Bluemound Dr, Appleton, WI 54914-3922 | 2020-06-11 |
| 1700164233 | Birch Haven Senior Living, Inc. | Assisted Living Facility | 1019 15th Ave W, Ashland, WI 54806-2772 | 2011-08-02 |
| 1558668905 | Willow Winds Living, LLC | Assisted Living Facility | N372 Twinkling Star Rd, Whitewater, WI 53190-2827 | 2011-02-22 |
| 1154567014 | Beyond Abilities LLC | Assisted Living Facility | 2839 E Frontage Rd, Abrams, WI 54101-9591 | 2008-12-24 |
| 1386192524 | Trinity Health Management | Assisted Living Facility | 5555 Burke Rd, Madison, WI 53718-6301 | 2016-09-16 |
| 1497119564 | Ans Creative Behavioral Solutions, LLC | Assisted Living Facility | 1551 S 108th St, West Allis, WI 53214-4020 | 2016-04-05 |
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| 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.