Healthcare Provider Details

I. General information

NPI: 1497788186
Provider Name (Legal Business Name): WHEATON FRANCISCAN HEALTHCARE TERRACE AT ST. FRANCIS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 S 20TH ST
MILWAUKEE WI
53215-4442
US

IV. Provider business mailing address

3200 S 20TH ST
MILWAUKEE WI
53215-4442
US

V. Phone/Fax

Practice location:
  • Phone: 414-389-3200
  • Fax: 414-389-3300
Mailing address:
  • Phone: 414-389-3200
  • Fax: 414-389-3300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number3147
License Number StateWI

VIII. Authorized Official

Name: ERIN SHADBOLT
Title or Position: CEO
Credential:
Phone: 314-729-3500