Active NPI
Loyalty Footprints of Life
- Respite Care
- Milwaukee, WI
National Provider Identifier
1154019479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Legal business name
- LOYALTY FOOTPRINTS OF LIFE
- Practice address
- 2742 N 34TH St
Milwaukee, WI 53210-2517 - Phone
- (414) 702-7058
- NPI assigned
- Apr 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tamara Virghes
- Title
- Owner/Director
- Phone
- (414) 702-7058
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | |||
| Private Vehicle | 347C00000X | |||
| Respite Care | 385H00000X | Primary | ||
| Child Mental Illness Respite Care | 385HR2055X |
Addresses
Primary practice location
2742 N 34TH St
Milwaukee, WI 53210-2517
Mailing address
2742 N 34TH St
Milwaukee, WI 53210-2517
Phone (414) 702-7058
Other names 1
- Loyalty Footprints of Life
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682380800000",
"number": "1154019479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2742 N 34TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532102517",
"telephone_number": "414-702-7058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2742 N 34TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532102517",
"telephone_number": "414-702-7058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOYALTY FOOTPRINTS OF LIFE",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-25",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A",
"authorized_official_last_name": "VIRGHES",
"authorized_official_first_name": "TAMARA",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "414-702-7058",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Loyalty Footprints of Life",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.