MEDICARE: SHELTERING ARMS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3104A0625X	Assisted Living Facility (Mental Illness)
2	3104A0630X	Assisted Living Facility (Behavioral Disturbances)
3	343900000X	Non-emergency Medical Transport (VAN)
4	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1881426229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHELTERING ARMS LLC

Provider Business Mailing Address
First Line	:	2854 N 29TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53210-2006
Country	:	US
Telephone Number	:	414-999-7967
Fax Number	:

Provider Business Practice Location Address
First Line	:	2854 N 29TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53210-2006
Country	:	US
Telephone Number	:	414-999-7967
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. RACHEAL L WREN
Credential	:	N/A
Telephone Number	:	414-999-7967

Provider Enumeration Date	:	08/15/2024
Last Update Date	:	08/15/2024

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Directions to “SHELTERING ARMS LLC ” Practice Location

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