PALMER HOUSE
NPI 1649247453
Assisted Living Facility in West Allis, WI

Active since March 01, 2006CLIA 52D2209703 · Waiver
3023 S 84TH ST, WEST ALLIS, WI 53227(414) 607-4100 Get Directions Write a Review

NPPES record last updated: April 8, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Palmer House NPPES

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

PALMER HOUSE (NPI 1649247453) is a healthcare organization registered as an assisted living facility in West Allis, Wisconsin and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through January 14, 2027 and lists James Enlund, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1649247453
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMETHODIST MANOR INC
Location Address3023 S 84TH STWest Allis, WI 53227-3703
Mailing Address3023 S 84th StWest Allis, WI 53227-3703 · (414) 607-4100
Organization SubpartNo
Authorized OfficialJames EnlundPresident & Ceo · (414) 607-4101
Enumeration DateMarch 1, 2006
Last NPPES UpdateApril 8, 2009
NPI 1649247453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in WI · NA-CBRF
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

3023 S 84TH ST, West Allis, WI 53227

Other Names 1

Doing Business AsPalmer House

Other Identifiers 2

Medicaid2013000WI
Medicare ID-Type Unspecified525069WI

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2209703

Methodist Manor Inc · West Allis, WI
Active · expires Jan 14, 2027
CLIA Number52D2209703
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorDr. Keshni Ramnanan
Laboratory Phone(414) 607-4100
Laboratory LocationMethodist Manor Inc3023 S 84th St, West Allis, WI 53227
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nursing Home Administrator
3023 S 84TH ST
MILWAUKEE, WI 53227
Nursing Home Administrator
3023 S 84TH ST
MILWAUKEE, WI 53227
Nursing Home Administrator
3023 S 84TH ST
MILWAUKEE, WI 53227
Nursing Facility/Intermediate Care Facility
3023 S 84TH ST
WEST ALLIS, WI 53227
Pharmacist
3023 S 84TH ST
WEST ALLIS, WI 53227
Pharmacist
3023 S 84TH ST
WEST ALLIS, WI 53227
Occupational Therapist
3023 S 84TH ST
WEST ALLIS, WI 53227
Occupational Therapist
3023 S 84TH ST
MILWAUKEE, WI 53227

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649247453, enumerated as an "organization" on March 01, 2006.

The provider is located at 3023 S 84TH ST WEST ALLIS, WI 53227 and the phone number is (414) 607-4100.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.