S&S House of Hope, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

S&S HOUSE OF HOPE, LLC

Practice address

1664 Terry Dale Dr
West Bend, WI 53090-8934

Phone

(262) 353-9256

NPI assigned

Sep 9, 2019

Organization subpart

No

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

Authorized official

Name

Shaniece Robinson

Title

Owner

Phone

(414) 491-5891

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1043869316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 N 46TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532183423",
            "telephone_number": "414-491-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 TERRY DALE DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530908934",
            "telephone_number": "262-353-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&S HOUSE OF HOPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "SHANIECE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-491-5891"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN DEPARTMENT OF HEALTH SERVICES DQA",
            "identifier": "00117629",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshouseofhopellc@outlook.com",
            "affiliation": "N",
            "address_1": "1664 Terry Dale Dr",
            "city": "West Bend",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530908934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jean E Runte, RMT
• Tammy Rusniak, RN
• Jennifer Ryan, SAC-IT
• Monica Clare Ryan, PA-C
• Emma Rydell
• Kristin Sabel, RN
• Jackson Leo Sadler
• Allison R Sajdak Hetzel, APNP
• Daniel E Sajdak, DO
• Tammy Nicole Salas, M.S. CCC-SLP

• Adult Care Home Facility in West Bend, WI
• Providers in West Bend, WI by specialty
• Adult Care Home Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.