Growing Together Family PNCC Agency

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

GROWING TOGETHER FAMILY PNCC AGENCY

Practice address

4701 W Brentwood Ave
Milwaukee, WI 53223-6023

Phone

(414) 419-2525

NPI assigned

Jul 9, 2024

Organization subpart

No

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

Authorized official

Name

Keasha Odom

Title

Owner

Phone

(414) 419-8601

Specialties & licenses 1

Addresses

Other names 1

• Growing Together Family PNCC Agency Doing business as

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1124865191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 W BRENTWOOD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532236023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 W BRENTWOOD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532236023",
            "telephone_number": "414-419-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING TOGETHER FAMILY PNCC AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "KEASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-419-8601"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Growing Together Family PNCC Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Growing Miracles
• Growing Nests
• Growing Together PNCC LLC
• Growth Oriented Counseling and Consulting, LLC
• Catherine M Grozman-Aquino, PT
• Carter Riley Gruber, MS, LPC-IT
• Dean Matthew Gruber, RPH

• 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 Jul 16, 2024; 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.