Professional Recovery Network is a Substance Abuse Rehabilitation Facility (organization) practicing in Waukesha, Wisconsin. The National Provider Identifier (NPI) is #1811104995, which was assigned on May 17, 2007, and the registration record was last updated on August 22, 2020. The practitioner's main practice location is at 2422 North Grandview Blvd, Waukesha, WI 53188; the contact telephone number is 2625496600, and the fax number is 2625496698. The primary taxonomy of Professional Recovery Network is Substance Abuse Rehabilitation Facility (324500000X). The authorized official for Professional Recovery Network is Charles John Engel (President). Professional Recovery Network is licensed to practice in the state of Wisconsin (#1748).
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
| NPI | 1811104995 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL RECOVERY NETWORK |
| Provider Name | PROFESSIONAL RECOVERY NETWORK |
| Practice Address |
2422 North Grandview Blvd Waukesha WI 53188 |
| Practice Telephone | 2625496600 |
| Practice Fax Number | 2625496698 |
| Mailing Address |
2422 North Grandview Blvd Waukesha WI 53188 |
| Mailing Telephone | 2625496600 |
| Mailing Fax Number | 2625496698 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Is Organization Subpart | N |
| Official Name | CHARLES JOHN ENGEL |
| Official Title | PRESIDENT |
| Credential | MD |
| Telephone | 2625496600 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 1748 | WI |
| Code | 324500000X |
| Taxonomy | Substance Abuse Rehabilitation Facility |
| Classification | Substance Abuse Rehabilitation Facility |
| Grouping | Residential Treatment Facilities |
| Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| The Best Treatment Fort Myers, LLC | 3331 E Riverside Dr, Fort Myers, FL 33916-1457 | Substance Abuse Rehabilitation Facility | 2026-06-03 |
| Kendall Jackson | 133 Hedrick Dr, Sugar Grove, WV 26815-5068 | Substance Abuse Rehabilitation Facility | 2026-06-05 |
| Liberty Community Programs Wv | 133 Hedrick Dr, Sugar Grove, WV 26815-5068 | Substance Abuse Rehabilitation Facility | 2026-06-06 |
| Marvin Thomas | 810 E 22nd St, Baltimore, MD 21218-5407 | Substance Abuse Rehabilitation Facility | 2026-06-05 |
| True Loving Health Facility | 13942 Dominican Ave, Moreno Valley, CA 92555-2566 | Substance Abuse Rehabilitation Facility | 2026-06-03 |
| Eunoia Integrative Behavioral Health, LLC | 4690 Millennium Dr, Belcamp, MD 21017-1523 | Substance Abuse Rehabilitation Facility | 2026-06-06 |
| P2h Recovery LLC | 3119 Ferndale Ave, Baltimore, MD 21207-6712 | Substance Abuse Rehabilitation Facility | 2026-06-02 |
| Portland Recovery Partners LLC | 4200 Ne 82nd Avenue, Portland, OR 97220 | Substance Abuse Rehabilitation Facility | 2026-06-03 |
| Acclaim Behavioral Health LLC | 5237 Reisterstown Rd, Baltimore, MD 21215-5018 | Substance Abuse Rehabilitation Facility | 2026-05-29 |
| White Oak Recovery Center Outpatient LLC | 6023 Hazeltine Ave, Van Nuys, CA 91401-3525 | Substance Abuse Rehabilitation Facility | 2026-06-03 |
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| Street Address |
2422 NORTH GRANDVIEW BLVD |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Wilfred A Humes | 2422 North Grandview Blvd, Waukesha, WI 53188 | Addiction (Substance Use Disorder) Counselor | 2007-05-10 |
| Jeffrey Merle Fosso | 2422 North Grandview Blvd, Waukesha, WI 53188 | Addiction (Substance Use Disorder) Registered Nurse | 2007-05-10 |
| James Edwin Mason | 2422 North Grandview Blvd, Waukesha, WI 53188 | Addiction (Substance Use Disorder) Counselor | 2007-05-10 |
| Patricia Vanpeursem | 2422 North Grandview Blvd, Waukesha, WI 53188 | Addiction (Substance Use Disorder) Counselor | 2007-05-10 |
| Angeline Bradford | 2422 North Grandview Blvd, Waukesha, WI 53188 | Addiction (Substance Use Disorder) Counselor | 2007-05-10 |
| Connie Jane Hanson | 2422 North Grandview Blvd, Waukesha, WI 53188 | Licensed Practical Nurse | 2007-05-10 |
| Kathleen J Maloney | 2422 North Grandview Blvd, Waukesha, WI 53188 | Addiction (Substance Use Disorder) Registered Nurse | 2007-05-10 |
| Tamara Lynn Domansky | 2422 North Grandview Blvd, Waukesha, WI 53188 | Addiction (Substance Use Disorder) Registered Nurse | 2007-05-10 |
| James Marcel Campeaux | 2422 North Grandview Blvd, Waukesha, WI 53188 | Addiction (Substance Use Disorder) Counselor | 2007-05-14 |
| Gale F Mortl | 2422 North Grandview Blvd, Waukesha, WI 53188 | Licensed Practical Nurse | 2007-05-10 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jennifer Diane Johnson · Jennifer Diane Psota | 725 American Avenue, Waukesha, WI 53188 | Nurse Practitioner | 2014-10-27 |
| Melissa Ann Kohnert | N17w24222 Riverwood, 170, Pewaukee, WI 53188 | Clinical Social Worker | 2024-12-09 |
| Breathe Wellness & Prenatal Care LLC | 2607 N. Gradview Blvd, Suite 110, Waukesha, WI 53188 | Mental Health Clinic/Center (Including Community Mental Health Center) | 2024-01-26 |
| Nicole Craig | Waukesha Expo Center, 1000 Northview Rd, Waukesha, WI 53188 | Ambulatory Care Registered Nurse | 2021-03-11 |
| Denise Barajas | 1000 Northview Rd, Waukesha, WI 53188 | Critical Care Medicine Registered Nurse | 2021-02-25 |
| Michelle Koch | 29667 Summit Ave. S11, Waukesha, WI 53188 | Occupational Therapist | 2015-12-03 |
| Comfort Transport, LLC | W238n1645 Rockwood Dr, Suite H, Waukesha, WI 53188 | Non-emergency Medical Transport (VAN) | 2013-06-26 |
| Patricia Marie Sombrio · Sombrio Marie Vanderheyden | 711 Moreland Blvd 204, Waukesha, WI 53188 | Dental Hygienist | 2017-09-04 |
| Ashley Susan Callahan | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | Dental Hygienist | 2018-07-19 |
| Emily Elizabeth Seefeld | 29667 Summit Ave S11, Waukesha, WI 53188 | Occupational Therapy Assistant | 2018-12-05 |
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| Nursing Network Inc | 8419 S Vermont Ave, Los Angeles, CA 90044-3423 | Case Management Agency | 2026-05-26 |
| Nc Care Network | 7242 Duke Dr, Canal Winchester, OH 43110-2508 | Mental Health Counselor | 2026-05-20 |
| Sps Provider Network | 6028 Magazine St, New Orleans, LA 70118-5824 | Plastic Surgery Physician | 2026-03-05 |
| Waves Behavioral Health & Recovery Network Ltd | 1215 Tannic St, Blacklick, OH 43004-8785 | Addiction (Substance Use Disorder) Counselor | 2026-04-03 |
| Rose Smith Professional Clinical Counselor Professional | 208 4th St, Yreka, CA 96097-2911 | Mental Health Counselor | 2026-04-09 |
| Sim It Network Private LLC | 4007 Lone Dove Ct, Houston, TX 77082-4090 | Durable Medical Equipment & Medical Supplies | 2026-06-02 |
| J & J Rx Network LLC | 2930 Moss St Ste A, Lafayette, LA 70501-1274 | Long Term Care Pharmacy | 2026-04-27 |
| Meto Network LLC | 1905 Skibo Rd, Fayetteville, NC 28314-0260 | Internal Medicine Physician | 2026-04-27 |
| Sim It Network Private LLC | 7901 4th St N # 26440, St Petersburg, FL 33702-4305 | Durable Medical Equipment & Medical Supplies | 2026-04-13 |
| Autonomy Recovery Network | 11299 Murchie Mine Rd, Nevada City, CA 95959-9543 | Case Manager/Care Coordinator | 2026-03-13 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |