Provider Demographics
NPI:1548431653
Name:PYRAMID GROUP HOMES INC.
Entity Type:Organization
Organization Name:PYRAMID GROUP HOMES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ADRIANE
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-469-7050
Mailing Address - Street 1:3132 N 47TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-3310
Mailing Address - Country:US
Mailing Address - Phone:414-444-2423
Mailing Address - Fax:414-444-6434
Practice Address - Street 1:3132 N 47TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-3310
Practice Address - Country:US
Practice Address - Phone:414-444-2423
Practice Address - Fax:414-444-6434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home