MINDFUL M.O.M. LLC (NPI# 1942827860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942827860 |
| Entity Type | Organization |
| Organization Name | MINDFUL M.O.M. LLC |
| Practice Address |
4555 N 65th St Milwaukee WI 53218-5508 |
| Practice Telephone | 4147937934 |
| Mailing Telephone | 4147937934 |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | AUSTIANA JACKSON (OWNER, DIRECTOR OF PROGRAMMING) |
| Authorized Official Telephone | 4147937934 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MINDFUL MOMENTS BEHAVIORAL HEALTH LLC | 501 Main Street Suite 202, Klamath Falls, OR 97601 |
| Oregon Corporations, Companies and Business Names | MINDFUL MOMENTS HLC LLC | 13935 Sw Glastonbury Ln, Apt 342, Tigard, OR 97224 |
| Connecticut Business Registrations | MINDFUL MOMENTS LLC | 10 Depot Street, Collinsville, CT 06019 |
| Colorado Business Entities | Mindful Moments Tutoring, LLC | 5442 W 68th Pl, Arvada, CO 80003 |
| Colorado Business Entities | Mindful Moments With Laurel LLC | 2515 W 133rd Circle, Broomfield, CO 80020 |
| New York State Corporations | MINDFUL MOMENTS, LLC | P.o. Box 954, Trumansburg, New York 14886 |
| New York State Corporations | MINDFUL MOMS LLC | 7 Kingwood Court, Muttontown, Ny 11791 |
| Colorado Business Entities | Mindful Moose Coffee Company LLC | 6811 Ammons St., Arvada, CO 80004 |
| Colorado Business Entities | Mindful Mountain Marketing LLC | 153 Bridge St, Breckenridge, CO 80424 |
| New York State Corporations | MINDFUL MOVEMENT CONSTRUCTION CONSULTING, LLC | 35 Holly Lane, Roslyn Heights, Ny 11577 |
| Street Address |
4555 N 65TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53218-5508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932732682 | Austiana Jackson | Case Manager/Care Coordinator | 4555 N 65th St, Milwaukee, WI 53218-5508 | 2020-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571050 | Kaak Living | Clinic/Center | 5938 N 76th Street, Milwaukee, WI 53218 | 2020-05-29 |
| 1306495064 | Jeanette Bearden | Technician | 4477 N 57 St., Milwaukee, WI 53218 | 2019-09-05 |
| 1770074080 | Sunvale Homes LLC | Home Health | 4714 N 58th St, Milwaukee, WI 53218 | 2018-05-22 |
| 1447740006 | Quantum Care LLC | Home Health | 6424 W Fondulac Avenue, Unit 1, Milwaukee, WI 53218 | 2018-05-18 |
| 1811413008 | Ewura Asie Amonoo | Case Manager/Care Coordinator | 5153 W. Silver Spring, Milwaukee, WI 53218 | 2017-08-18 |
| 1649706714 | Life Tree Pharmacy LLC | Pharmacy | 8329-5 W Appleton Ave, Milwaukee, WI 53218 | 2017-05-10 |
| 1720524341 | Nastassia S Jackson | Counselor | 6830 W Villard Ave Ste 190, Milwaukee, WI 53218 | 2017-01-07 |
| 1801330493 | Mary Beth Cafaro | Social Worker | 5555 N. 51st Blvd, Milwaukee, WI 53218 | 2016-12-15 |
| 1669823613 | Lasonya Carol Wilson | Licensed Practical Nurse | 5830 N 75th St, Milwaukee, WI 53218 | 2016-06-30 |
| 1225302243 | Drew Douglas Cannon | Social Worker | 5555 N 51st Street, Milwaukee, WI 53218 | 2012-03-08 |
| Find all providers in zip 53218 | ||||
| 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.