Individual ProviderSamuel Robert Vincent GranatelliSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5000 W National Ave, Milwaukee, WI 53295-0001(224) 234-7956PECOS EnrollmentBased on the most recent information from CMS, provider Samuel Robert Vincent Granatelli does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1972307007Provider TypeIndividualFull NameGranatelli, Samuel Robert VincentGenderMaleSole ProprietorNoEnumeration Date4/1/2025Last Updated4/1/2025Contact InformationPractice LocationPractice Address5000 W National Ave, Milwaukee, WI 53295-0001Phone(224) 234-7956FaxUnlisted FaxMailing LocationMailing Address1237 N Van Buren St Unit 712, Milwaukee, WI 53202-5346PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer