IRIS MANOR


Address: 2339 N 60th St, Wauwatosa, WI 53210-2220
Phone: 4147781222

IRIS MANOR (NPI# 1790140382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790140382
Entity Type Organization
Organization Name IRIS MANOR
Practice Address 2339 N 60th St
Wauwatosa
WI 53210-2220
Practice Telephone 4147781222
Practice Fax Number 4147781002
Enumeration Date 2015-12-23
Last Update Date 2015-12-23
Authorized Official Name MS. CYNTHIA SOTO (BILLING)
Authorized Official Telephone 4143150429
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities WI Residential Treatment Facilities

Office Location

Street Address 2339 N 60TH ST
City WAUWATOSA
State WI
Zip Code 53210-2220

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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1316457203 James Cares LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2422 Marshall Sq, Kansasville, WI 53139-9763 2017-10-05
1497271449 Rescare Residentail Services Wisconsin, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 511 S Pelham St, Rhinelander, WI 54501-3316 2017-08-21
1144756685 Safe Haven Senior Care Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 414 E 19th St, Marshfield, WI 54449-5074 2017-05-03
1407209109 Shepherds Baptist Ministries Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1805 15th Ave, Union Grove, WI 53182-1527 2016-07-18
1316312218 A Place for Miracles Living Center LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7022 N 43rd St, Milwaukee, WI 53209-2219 2015-12-03
1396088639 Bell Therapy, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 628 S 68th St, Milwaukee, WI 53214-1608 2013-04-05
1790039519 Harbor Hope Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1626 S Park Ave, 908 Baldwin St, Neenah, WI 54956-5025 2012-10-31
1619232030 Bell Therapy, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities W3151 State Highway 32, Elkhart Lake, WI 53020-1740 2012-07-11
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Competitor

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City WAUWATOSA
Zip Code 53210

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Dataset Information

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.

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