NPIMap

Organization Active NPI

Faith Hope & Charity FH&C Supportive Living Inc

  • Adult Care Home Facility
  • South Milwaukee, WI
National Provider Identifier
1013248657
Registry record updated Jan 21, 2010
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Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
34233 Issued in AR
Legal business name
FAITH HOPE & CHARITY FH&C SUPPORTIVE LIVING INC
Practice address
3344 Marina Rd
Apartment # 211
South Milwaukee, WI 53172-3961
Phone
(414) 793-4066
Fax
(847) 239-7694
NPI assigned
Jan 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Betty Jean Wright
Title
Owner
Phone
(414) 793-4066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 34233 AR Primary

Addresses

Primary practice location

3344 Marina Rd
Apartment # 211
South Milwaukee, WI 53172-3961

Mailing address

3344 Marina Rd
Apartment # 211
South Milwaukee, WI 53172-3961
Phone (414) 793-4066

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1013248657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3344 MARINA RD",
            "address_2": "APARTMENT # 211",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531723961",
            "telephone_number": "414-793-4066",
            "fax_number": "847-239-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3344 MARINA RD",
            "address_2": "APARTMENT # 211",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531723961",
            "telephone_number": "414-793-4066",
            "fax_number": "847-239-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HOPE & CHARITY FH&C SUPPORTIVE LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-793-4066",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AR",
            "license": "34233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.