METHODIST MANOR OF WAUKESHA, INC. (NPI# 1750359220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750359220 |
| Entity Type | Organization |
| Organization Name | METHODIST MANOR OF WAUKESHA, INC. |
| Other Organization Name | RUTH HOSPICE |
| Practice Address |
8300 W Beloit Rd West Allis WI 53219-2412 |
| Mailing Address |
3023 S 84th St West Allis WI 53227-3703 |
| Practice Telephone | 4146074451 |
| Practice Fax Number | 4146074459 |
| Mailing Telephone | 4146074100 |
| Mailing Fax Number | 4146074502 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2009-04-08 |
| Authorized Official Name | MR. JAMES ENLUND (PRESIDENT & CEO) |
| Authorized Official Telephone | 4146074100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | 2002 | WI | Agencies |
| N | 385H00000X | Respite Care | 2002 | WI | Respite Care Facility |
| Y | 315D00000X | Hospice, Inpatient | 2002 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43190000 | 05 | |
| WI | FACILITY LICENSE NUMBER | 2002 | 01 |
| Other Name | Type Code |
|---|---|
| Ruth Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952378648 | Methodist Manor of Waukesha, Inc. | Hospice Care, Community Based | 8526 W Mill Rd, Milwaukee, WI 53225-1934 | 2006-03-02 |
| 1619944303 | Methodist Manor of Waukesha, Inc. | Assisted Living Facility | W7098 Buttercup Ct, Greenville, WI 54942-9048 | 2006-03-02 |
| Street Address |
8300 W BELOIT RD |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53219-2412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262323 | Tammi T Wisniewski | Hearing Instrument Specialist | 4847 W. Forest Home Avenue, Greenfield, WI 53219 | 2020-10-14 |
| 1174052344 | Adam Blaha | Physical Therapy Assistant | 2622 South 66th Street, Milwaukee, WI 53219 | 2017-06-09 |
| 1700281920 | Mary Beth Menarek | Counselor | 6574 W. Beloit Road, West Allis, WI 53219 | 2014-10-30 |
| 1780959767 | James Stanley Ziolkowski | Electrodiagnostic Medicine | 9330 W. Lincln Ave, West Allis, WI 53219 | 2012-03-09 |
| 1568752707 | Carey M Kromarek | Social Worker | 5757 W. Oklahoma Ave, Suite 203, Milwaukee, WI 53219 | 2011-04-08 |
| 1275834988 | Debra L Felzer | Registered Nurse | 7123 W Stuth Place, West Allis, WI 53219 | 2010-11-11 |
| 1528290327 | Miguel Angel Bautista | Acupuncturist | 4318 W. Foresthowe Ave., Milwaukee, WI 53219 | 2009-08-13 |
| 1629211487 | Ruth Irene Young | Physical Therapy Assistant | 2027 S. 79th Street, West Allis, WI 53219 | 2009-04-09 |
| 1053591818 | Linda St. Louis | Nurse Practitioner | 6030 W. Oklahoma Avenue, Milwaukee, WI 53219 | 2007-11-09 |
| 1811185812 | John Stuart Lanham | Podiatrist | 5720 W Oklahoma Avenue, Milwaukee, WI 53219 | 2007-10-04 |
| Find all providers in zip 53219 | ||||
| Taxonomy Code | 315D00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Hospice, Inpatient |
| A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
| Notes: Source: AHA Guide, American Hospital Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538134499 | Rainbow Hospice Care, Inc. | Hospice, Inpatient | 147 W Rockwell St, Jefferson, WI 53549-2048 | 2006-02-22 |
| 1548248313 | Shawano Community Hospice | Hospice, Inpatient | 309 N Bartlette St, Shawano, WI 54166-2199 | 2006-01-03 |
| 1891889911 | Aspirus Wausau Hospital, Inc | Hospice, Inpatient | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2006-10-03 |
| 1861503534 | Agrace Hospicecare, Incorporated | Hospice, Inpatient | 5395 E Cheryl Pkwy, Fitchburg, WI 53711-5395 | 2006-08-31 |
| 1194797910 | Unity Limited Partnership | Hospice, Inpatient | 2366 Oak Ridge Cir, De Pere, WI 54115-9207 | 2006-02-06 |
| City | WEST ALLIS |
| Zip Code | 53219 |
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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.