5 GOODMEN COMMUNITY CARE GROUP HOME LLC
NPI 1649090168
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Milwaukee, WI

Active since October 10, 2024
942 N 29TH ST, MILWAUKEE, WI 53208(414) 988-5321 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 5 Goodmen Community Care Group Home Llc NPPES

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

5 GOODMEN COMMUNITY CARE GROUP HOME LLC (NPI 1649090168) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Milwaukee, Wisconsin and active in the NPI registry since October 2024. The organization lists George Weaver, Coo, as its authorized official.

NPPES Registry Identity

NPI1649090168
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business Name5 GOODMEN COMMUNITY CARE GROUP HOME LLC
Location Address942 N 29TH STMilwaukee, WI 53208-3406
Mailing Address942 N 29th StMilwaukee, WI 53208-3406 · (414) 988-5321
Organization SubpartNo
Authorized OfficialGeorge WeaverCoo · (414) 309-2740
Enumeration DateOctober 10, 2024
NPPES CertifiedOctober 10, 2024
NPI 1649090168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
942 N 29TH ST, Milwaukee, WI 53208

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 5 Goodmen Community Care Group Home LLC's NPI number?

The NPI number for 5 Goodmen Community Care Group Home LLC is 1649090168. It was assigned to this organization in the NPPES registry on October 10, 2024.

Where is 5 Goodmen Community Care Group Home LLC located?

5 Goodmen Community Care Group Home LLC is located at 942 N 29th St, Milwaukee, WI 53208. The listed phone number is (414) 988-5321.

What is 5 Goodmen Community Care Group Home LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for 5 Goodmen Community Care Group Home LLC was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.