LIFE CHANGING MINISTRIES SUBSTANCE ABUSE SERVICES (NPI# 1679981328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679981328 |
| Entity Type | Organization |
| Organization Name | LIFE CHANGING MINISTRIES SUBSTANCE ABUSE SERVICES |
| Practice Address |
1134 W North Ave 2nd Floor Milwaukee WI 53205 |
| Mailing Address |
1134 W North Ave 2nd Floor Milwaukee WI 53205-1333 |
| Practice Telephone | 4142699660 |
| Practice Fax Number | 4147550698 |
| Mailing Telephone | 4142699660 |
| Mailing Fax Number | 4147550698 |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | KARINA CHELSKY (PRACTICE MANAGER) |
| Authorized Official Telephone | 4144678884 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIFE CHANGING MINISTRIES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | 3045 | WI | Residential Treatment Facilities |
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100041767 | 05 | |
| WI | FDA CLIA | 52D2142323 | 01 |
| WI | 100043806 | 05 |
| Street Address |
1134 W NORTH AVE 2ND FLOOR |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467931691 | The Salvation Army - Wisconsin and Upper Michigan | Counselor | 1730 N 7th Street, Milwaukee, WI 53205 | 2018-08-08 |
| 1821596909 | Robert Leland Goodman | Counselor | 1134 W. North Ave, Second Floor, Milwaukee, WI 53205 | 2018-01-24 |
| 1265980767 | Wisconsin Healthcare Services | Clinic/Center | 2462 West Lisbon Avenue, Milwaukee, WI 53205 | 2016-09-14 |
| 1841667466 | St. Ann Center for Intergenerational Care | Public Health or Welfare | 2450 W North Ave, Milwaukee, WI 53205 | 2015-08-31 |
| 1407252646 | Abdelrahman H. Alarga | Pharmacist | 1919 W North Ave., Milwaukee, WI 53205 | 2014-11-17 |
| 1891031969 | Robin Michelle Benjamin | Licensed Practical Nurse | 1536 N 20th, Mil., WI 53205 | 2012-12-18 |
| 1275712937 | Bruce G Hartwell | Dentist | 901 W Winnebago St, Suite Ll-01, Milwaukee, WI 53205 | 2007-10-30 |
| 1407978521 | Westside Healthcare Association, Inc | Clinic/Center | 1452 N. 7th Street, Milwaukee, WI 53205 | 2007-04-06 |
| 1740316181 | Neville Winston Duncan | Family Medicine | 1134 W North Ave Fl 2, Milwaukee, WI 53205 | 2007-02-27 |
| 1639244254 | Horizon Inc | Substance Abuse Rehabilitation Facility | 2511 West Vine Street, Milwaukee, WI 53205 | 2006-11-21 |
| Find all providers in zip 53205 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337212 | Accident and Injury Rehab Center, Inc | Clinic/Center | 6114 W Capitol Dr Ste 100-102, Milwaukee, WI 53216-2147 | 2020-08-19 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1154889749 | Positive Directions Inc | Clinic/Center | 3510 W Saint Paul Ave # 6, Milwaukee, WI 53208-4125 | 2019-03-04 |
| 1255844106 | Comprehensive Diagnostic Imaging of Wisconsin, LLC | Clinic/Center | 2500 W Layton Ave Ste 20, Milwaukee, WI 53221-5400 | 2017-11-14 |
| 1265980767 | Wisconsin Healthcare Services | Clinic/Center | 2462 West Lisbon Avenue, Milwaukee, WI 53205 | 2016-09-14 |
| 1861859902 | Wisconsin Healthcare Network LLC | Clinic/Center | 5600 W Brown Deer Rd Ste 228, Milwaukee, WI 53223-2311 | 2016-01-20 |
| 1801229653 | Sixteen Street Community Health Center | Clinic/Center | 1337 S Cesar E Chavez Dr, Milwaukee, WI 53204-2712 | 2013-08-15 |
| 1821333550 | Milwaukee Spine and Joint Center | Clinic/Center | 1631 W Lincoln Ave, Milwaukee, WI 53215-2637 | 2012-12-06 |
| 1003175316 | Healing Center of Milwaukee | Clinic/Center | 5800 W Forest Home Ave, Milwaukee, WI 53220-1954 | 2012-05-07 |
| 1437472172 | Physician Associates of Wisconsin, Sc | Clinic/Center | 7033 Wellauer Dr, Milwaukee, WI 53213-3734 | 2010-03-09 |
| 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.