SAINTA (NPI# 1639343320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639343320 |
Entity Type | Organization |
Organization Name | SAINTA |
Other Organization Name | SAINT AEMLILIAN |
Practice Address |
8901 W. Capitol Dr Milwaukee WI 53222-1706 |
Practice Telephone | 4144655751 |
Practice Fax Number | 4144632770 |
Mailing Telephone | 4144655751 |
Mailing Fax Number | 4144632770 |
Enumeration Date | 2008-04-15 |
Last Update Date | 2019-05-17 |
Authorized Official Name | DR. JODY ANN PAHLAVAN (VICE PRESIDENT OF CLINICAL SERVICES) |
Authorized Official Telephone | 4144655751 |
Authorized Official Credential | PSY.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225XM0800X |
Occupational Therapist Specialization: Mental Health |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
WI | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 100078122 | 05 | |
WI | 43016900 | 05 |
Other Name | Type Code |
---|---|
Saint Aemlilian | Former Legal Business Name - Organization |
St. Aemilian-Lakeside, Inc. | Former Legal Business Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | SAINTACO HOME LLC | 6767 S. Vine Street, Centennial, CO 80122 |
Street Address |
8901 W. CAPITOL DR |
City | MILWAUKEE |
State | WI |
Zip Code | 53222-1706 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
Find all providers in zip 53222 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316587439 | Sixteenth Street Community Health Centers, Inc. | Clinic/Center | 1635 W National Ave, Milwaukee, WI 53204-1130 | 2020-01-07 |
1689149700 | Birt Supportive Services LLC | Clinic/Center | 4868 N 89th St, Milwaukee, WI 53225-4106 | 2018-10-04 |
1285181735 | Aurora Family Services | Clinic/Center | 3200 W. Highland Blvd, Aurora Family Services, Milwaukee, WI 53210 | 2016-09-01 |
1679981328 | Life Changing Ministries Substance Abuse Services | Clinic/Center | 1134 W North Ave 2nd Floor, Milwaukee, WI 53205 | 2014-07-25 |
1962839589 | Shoreview Counseling Services | Clinic/Center | 4950 N 21st St, Lower Level, Milwaukee, WI 53209-5750 | 2013-09-27 |
1952608721 | Community Advocates, Inc | Clinic/Center | 4906 W Fond Du Lac Ave, Milwaukee, WI 53216-2325 | 2011-02-14 |
1841438769 | Counseling & Transition Center Inc | Clinic/Center | 3073 S. Chase Ave, Suite 326, Milwaukee, WI 53207 | 2009-01-30 |
1639193212 | Horizon Healthcare, Inc | Clinic/Center | 5408 W Burleigh St, Milwaukee, WI 53210-1624 | 2006-07-27 |
1053934034 | Heather Hart Kennedy, Lcsw, LLC | Clinic/Center | 1110 N Old World 3rd St Ste 401, Milwaukee, WI 53203-1117 | 2020-05-25 |
1033772058 | Different Shades of Healing, LLC | Clinic/Center | 6830 W Villard Ave Ste 190, Milwaukee, WI 53218-3968 | 2019-04-16 |
Find all providers in MILWAUKEE |
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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.