Our Daily Bread Community Outreach Center, Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

OUR DAILY BREAD COMMUNITY OUTREACH CENTER, INC

Practice address

6040 W Lisbon Ave
Suite 203
Milwaukee, WI 53210-2116

Phone

(414) 255-8595

NPI assigned

Apr 30, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Lea Lavonda Kyle-Lewis

Title

Chief Executive

Phone

(414) 349-4521

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1033554373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 W LISBON AVE",
            "address_2": "SUITE 203",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102116",
            "telephone_number": "414-255-8595",
            "fax_number": "414-449-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 W LISBON AVE",
            "address_2": "SUITE 203",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102116",
            "telephone_number": "414-255-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR DAILY BREAD COMMUNITY OUTREACH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "KYLE-LEWIS",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "LAVONDA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "414-349-4521",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joelle Kathleen Ottoson, MSW, LCSW, ICS,CSAC
• Ayodamola Otun, MD
• Terrance L Otzelberger, PA-C
• Khalil Ouellette, PHARMD
• James Oujiri, M.D.
• Our Destiny, LLC.
• Our Home Sweet Home LLC
• Our Journey Together
• Our Legacy Transportation
• Our Space, Inc.

• Case Management Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Case Management Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.