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Methodist Manor, Inc.

Methodist Manor, Inc. is a healthcare organization registered as Nursing Facility/Intermediate Care Facility in West Allis, WI, holding Type 2 (organization) NPI 1972571628 since 2006. The authorized official on file is James Enlund, President & Ceo.

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NPI 1972571628
Entity type Organization (Type 2)
Legal business name Methodist Manor, Inc.
Other name <Unavail>
Practice address 3023 S 84TH ST, West Allis, WI, 53227
Phone 4146074100
Fax 4146074502
Enumeration date 2006-03-09
Last updated in NPPES 2009-04-08

Authorized official

Name James Enlund
Title President & Ceo
Phone 4146074100

Taxonomy & classification

Taxonomy code Specialty Primary License State
281P00000X Chronic Disease Hospital Secondary 2300 WI
314000000X Skilled Nursing Facility Secondary 2300 WI
313M00000X Nursing Facility/Intermediate Care Facility Primary 2300 WI

Other identifiers

Identifier Type State Issuer
2300 Other WI FACILITY LICENSE NUMBER
20008100 Medicaid WI
Copy-ready billing details
Provider: Methodist Manor, Inc.
NPI: 1972571628
Taxonomy: 313M00000X (Nursing Facility/Intermediate Care Facility)
Address: 3023 S 84TH ST, West Allis, WI, 53227

Providers at this address

NPI Name Type Specialty Location
1154303287 Jim Enlund Individual Nursing Home Administrator Milwaukee, WI
1962484097 Bette Hanel Individual Nursing Home Administrator Milwaukee, WI
1346223732 Reginald Hislop Individual Nursing Home Administrator Milwaukee, WI
1649247453 Methodist Manor Inc Organization Assisted Living Facility West Allis, WI
1962582064 Sylvia Winter Individual Pharmacist West Allis, WI
1962582056 Scott Treland Individual Pharmacist West Allis, WI
1588993885 Krista Gehringer Individual Occupational Therapist West Allis, WI
1063735769 Sarah Maki Individual Occupational Therapist Milwaukee, WI

Verify this record

Cross-check NPI 1972571628 against the authoritative CMS record: view Methodist Manor, Inc. on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Methodist Manor, Inc.?
Methodist Manor, Inc. is registered in NPPES as a Nursing Facility/Intermediate Care Facility (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-04-08.