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COMMUNITY BASED RESIDENTIAL FACILITY
NPI 1003064064
Clinic/Center - Community Health in Milwaukee, WI

Active since September 03, 2008
3910 W BURLEIGH ST, MILWAUKEE, WI 53210(414) 445-3607(414) 445-6575 Get Directions Write a Review

NPPES record last updated: September 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Community Based Residential Facility NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY BASED RESIDENTIAL FACILITY (NPI 1003064064) is a healthcare organization registered as a community health in Milwaukee, Wisconsin and active in the NPI registry since September 2008. The organization lists Shirley Temple Gladney, Administrator, as its authorized official.

NPPES Registry Identity

NPI1003064064
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NamePRIMROSE RESIDENTIAL FACILITY
Location Address3910 W BURLEIGH STMilwaukee, WI 53210-1816
Mailing Address3910 W Burleigh StMilwaukee, WI 53210-1816 · (414) 445-3607 · Fax (414) 445-4575
Phone(414) 445-3607
Fax(414) 445-6575
Organization SubpartNo
Authorized OfficialShirley Temple GladneyAdministrator · (414) 445-3607
Enumeration DateSeptember 3, 2008
✔ NPI 1003064064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
3910 W BURLEIGH ST, Milwaukee, WI 53210
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Other Names 1

Doing Business AsCommunity Based Residential Facility

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Primrose Residential Facility's NPI number?

The NPI number for Primrose Residential Facility is 1003064064. It was assigned to this organization in the NPPES registry on September 3, 2008. The provider is doing business as Community Based Residential Facility.

Where is Primrose Residential Facility located?

Primrose Residential Facility is located at 3910 W Burleigh St, Milwaukee, WI 53210. The listed phone number is (414) 445-3607.

What is Primrose Residential Facility's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Primrose Residential Facility was last updated on September 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.