FOSTER CARE YOUTH INDEPENDENCE CENTER OF WISCONSIN, INC (NPI# 1821229345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821229345 |
| Entity Type | Organization |
| Organization Name | FOSTER CARE YOUTH INDEPENDENCE CENTER OF WISCONSIN, INC |
| Practice Address |
2433 N Holton St Milwaukee WI 53212-2934 |
| Practice Telephone | 4142646290 |
| Practice Fax Number | 4142646073 |
| Mailing Telephone | 4142646290 |
| Mailing Fax Number | 4142646073 |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-07-31 |
| Authorized Official Name | MR. JAMES ALLEN PEKRUL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4142646290 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| Street Address |
2433 N HOLTON ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53212-2934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518356468 | Wisconsin Nazarene Compassionate Center, Inc. | Voluntary or Charitable | 2904 W Wells St, Suite 102, Milwaukee, WI 53208-4805 | 2015-01-15 |
| 1174938153 | Margaret Pearson | Voluntary or Charitable | 9015 W Thurston Ave Apt 4, Milwaukee, WI 53225-2842 | 2014-06-27 |
| 1235571175 | Better Care Family Services Inc | Voluntary or Charitable | 1710 N 33rd St, Milwaukee, WI 53208-1904 | 2013-07-19 |
| 1982908919 | Creative Challenge Outreach, Inc | Voluntary or Charitable | 3252 N 1st St, Milwaukee, WI 53212-2061 | 2011-01-05 |
| 1184882284 | Holton Street Clinic, Inc. | Voluntary or Charitable | 3251 N Holton St, Milwaukee, WI 53212-2126 | 2008-05-27 |
| 1306969613 | Brady East Std Clinic, Inc. | Voluntary or Charitable | 1240 E Brady St, Milwaukee, WI 53202-1603 | 2007-04-10 |
| 1871027961 | Positive Touch Therapy LLC | Voluntary or Charitable | 1228 N Astor St, 2nd Level, Milwaukee, WI 53202-2820 | 2017-04-14 |
| 1790110013 | New Hope Church of God In Christ | Voluntary or Charitable | 1710 N 33rd St, Milwaukee, WI 53208-1904 | 2013-09-05 |
| 1063766806 | Urban North Neighborhood Concerns Association Inc | Voluntary or Charitable | 2821 N 4th St, Rm 208, Milwaukee, WI 53212-2362 | 2012-11-01 |
| 1649446238 | Angel Adams Inc | Voluntary or Charitable | 6040 W Lisbon Ave, Suite B2, Milwaukee, WI 53210-2116 | 2008-05-02 |
| 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.