Organization Active NPI

Faith Hope & Charity Supportive Living Inc

  • In Home Supportive Care Agency
  • South Milwaukee, WI
National Provider Identifier
1073887998
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FAITH HOPE & CHARITY SUPPORTIVE LIVING INC
Practice address
3305 Marina Rd
South Milwaukee, WI 53172-3930
Phone
(414) 793-4066
Fax
(414) 764-6702
NPI assigned
Feb 24, 2012
Last updated
Feb 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Authorized official

Name
Mr. Brian Holman
Title
Director of Operations
Phone
(414) 793-4066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3305 Marina Rd
South Milwaukee, WI 53172-3930

Mailing address

3305 Marina Rd
South Milwaukee, WI 53172-3930
Phone (414) 764-6700

Other names 1

  • F H & C Supportive Living Inc Other name

National Provider Directory

National Provider Directory
Tax ID family
F H C Supportive Living Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1073887998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 MARINA RD",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531723930",
            "telephone_number": "414-764-6700",
            "fax_number": "414-764-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 MARINA RD",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531723930",
            "telephone_number": "414-793-4066",
            "fax_number": "414-764-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HOPE & CHARITY SUPPORTIVE LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "414-793-4066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "F H & C Supportive Living Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 24, 2012; 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.