Kismet Advocacy LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KISMET ADVOCACY LLC

Practice address

107 S Oakland Ave
Green Bay, WI 54303-1628

Phone

(920) 309-2911

NPI assigned

Jan 30, 2018

Organization subpart

No

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

Authorized official

Name

Amy Jo Timm, LCSW

Title

Owner Service Coordinator

Phone

(920) 309-2911

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1043718497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S OAKLAND AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543031628",
            "telephone_number": "920-309-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S OAKLAND AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543031628",
            "telephone_number": "920-309-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISMET ADVOCACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "TIMM",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER SERVICE COORDINATOR",
        "authorized_official_telephone_number": "920-309-2911",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Green Bay, WI
• Providers in Green Bay, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.