Active NPI
Yusupha Sanneh
- Assisted Living Facility
- Green Bay, WI
National Provider Identifier
1033081526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Practice address
- 400 Saint Jude St
Green Bay, WI 54303-4535 - Phone
- (920) 969-8176
- NPI assigned
- Sep 23, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | WI | Primary |
Addresses
Primary practice location
400 Saint Jude St
Green Bay, WI 54303-4535
Mailing address
400 Saint Jude St
Green Bay, WI 54303-4535
Phone (920) 969-8176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1033081526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 SAINT JUDE ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543034535",
"telephone_number": "920-969-8176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SAINT JUDE ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543034535",
"telephone_number": "920-969-8176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANNEH",
"first_name": "YUSUPHA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-23",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.