FILSON ALI MIRE
NPI 1275378259
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Fitchburg, WI

Active since July 01, 2024
2507 SPARK ST, FITCHBURG, WI 53711(608) 575-0754 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Assisted Living Facility
  • Assisted Living, Behavioral Disturbances

About FILSON MIRE

This page provides the complete NPI Profile along with additional information for Filson Mire, a provider established in Fitchburg, Wisconsin with a medical specialization in Assisted Living Facility, focusing in assisted living, behavioral disturbances . The healthcare provider is registered in the NPI registry with number 1275378259 assigned on July 2024. The practitioner's primary taxonomy code is 3104A0630X with license number 0020052 (WI). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1275378259 Verify this NPI
Provider Name
FILSON ALI MIRE
Gender
Female
Entity Type
Individual
Location Address
2507 SPARK ST FITCHBURG, WI 53711
Location Phone
(608) 575-0754
Mailing Address
2507 SPARK ST FITCHBURG, WI 53711
Mailing Phone
(608) 575-0754
Is Sole Proprietor?
Yes
Enumeration Date
07-01-2024
Last Update Date
07-01-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility Assisted Living, Behavioral Disturbances

Taxonomy Code
3104A0630X
Type
Nursing & Custodial Care Facilities
License No.
0020052
License State
WI
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Non-emergency Medical Transport (VAN)
2507 SPARK ST
FITCHBURG, WI 53711

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275378259, enumerated as an "individual" on July 01, 2024.

The provider is located at 2507 SPARK ST FITCHBURG, WI 53711 and the phone number is (608) 575-0754.

Assisted Living Facility with taxonomy code 3104A0630X and a focus in Assisted Living, Behavioral Disturbances.