DIRECT CARE PRENATAL LLC (NPI# 1184100240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184100240 |
| Entity Type | Organization |
| Organization Name | DIRECT CARE PRENATAL LLC |
| Practice Address |
11805 W Hampton Ave Ste 103 Milwaukee WI 53225 |
| Mailing Address |
11805 W Hampton Ave Ste 103 Milwaukee WI 53225-3612 |
| Practice Telephone | 4142133966 |
| Practice Fax Number | 4147557676 |
| Mailing Telephone | 4142133966 |
| Mailing Fax Number | 4147557676 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | MRS. DETRA FERGUSON-CALLAHAN (OWNER) |
| Authorized Official Telephone | 4142133966 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
11805 W HAMPTON AVE STE 103 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205163920 | Latasha Kiana Parish | Registered Nurse | 11805 W Hampton Ave Ste 103, Milwaukee, WI 53225-3612 | 2009-11-17 |
| 1487141099 | Detra Ferguson | Case Manager/Care Coordinator | 11805 W Hampton Ave Ste 103, Milwaukee, WI 53225-3612 | 2018-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194088682 | Waulonda Renee Williams | Registered Nurse | 5847 North 91st Street, Milwaukee, WI 53225 | 2012-06-19 |
| 1447519152 | Sandy Xiong | Licensed Practical Nurse | 5656 N 86th Place, Milwaukee, WI 53225 | 2012-05-15 |
| 1992939292 | Marzie Lee Satterwhite | Physical Therapy Assistant | 8534 W Mill Road, Milwaukee, WI 53225 | 2009-05-14 |
| 1538319157 | Katherine Monica Block | Speech-Language Pathologist | 5015 N. 106th St., Milwaukee, WI 53225 | 2008-09-19 |
| 1932329992 | Jennifer Marie Eggert | Speech-Language Pathologist | 9688 W Appleton Ave, Milwaukee, WI 53225 | 2007-05-01 |
| 1396830501 | Milwaukee Pain Treatment Services Sc | Anesthesiology | 5400 N 118th Court, Milwaukee, WI 53225 | 2006-10-04 |
| 1962518050 | Kenneth John Kowalski | Dentist | 4878 N Swan Road, Milwaukee, WI 53225 | 2006-08-22 |
| 1447290325 | Catherine Mae Jenkins | Registered Nurse | 5650 North 97th Street, Milwaukee, WI 53225 | 2006-06-07 |
| 1942249578 | David Irving Stein | Specialist | 5400 N 118tth Court, Milwaukee, WI 53225 | 2006-06-06 |
| 1720057482 | Herslof's, Inc | Optometrist | 12000 W Carmen Ave, Milwaukee, WI 53225 | 2006-03-15 |
| Find all providers in zip 53225 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700705 | Omega Prenatal Care Coordination Services LLC | Case Management | 9921 W Dean Rd, Milwaukee, WI 53224-2446 | 2020-11-06 |
| 1124626544 | Child Care Matters Network Inc | Case Management | 7817 W Brown Deer Rd Ste 6, Milwaukee, WI 53223-1916 | 2020-10-16 |
| 1386241909 | Gloria Baxter | Case Management | 907 W Atkinson Ave, Milwaukee, WI 53206-3326 | 2020-10-06 |
| 1891301891 | Just Me & Mommy Family Services LLC | Case Management | 6830 W Villard Ave Ste 308, Milwaukee, WI 53218-3968 | 2020-09-16 |
| 1407467350 | Miranda Marie Porter | Case Management | 4760 N 22nd St, Milwaukee, WI 53209-6335 | 2020-08-13 |
| 1801407051 | Bundle of Love Prenatal LLC | Case Management | 5406 N Lovers Lane Rd, Milwaukee, WI 53225-3006 | 2020-08-12 |
| 1174133326 | Sharing Love Corporation | Case Management | 2200 N 12th St, Milwaukee, WI 53205-1320 | 2020-08-03 |
| 1023627114 | Lily Rose Care Coordination LLC | Case Management | 9135 W Lisbon Ave, Milwaukee, WI 53222-2722 | 2020-07-24 |
| 1922617018 | L Heuss LLC | Case Management | 7231 W Brentwood Ave, Milwaukee, WI 53223-6125 | 2020-07-24 |
| 1104435429 | Isioma Jewel Ezekiel | Case Management | 5450 W Green Tree Rd, Milwaukee, WI 53223-5289 | 2020-07-23 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.