Organization Active NPI

Avenues to Community Inc

  • Case Manager/Care Coordinator
  • Madison, WI
National Provider Identifier
1154897163
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
AVENUES TO COMMUNITY INC
Practice address
579 Donofrio Dr Ste 208
Madison, WI 53719-2839
Phone
(608) 663-8390
Fax
(608) 663-8393
NPI assigned
Oct 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Authorized official

Name
Kevin Keisling
Title
Executive Director
Phone
(608) 663-8390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

579 Donofrio Dr Ste 208
Madison, WI 53719-2839

Mailing address

579 Donofrio Dr Ste 208
Madison, WI 53719-2839
Phone (608) 663-8390

National Provider Directory

National Provider Directory

Locations

579 Donofrio Dr
Ste 208
Madison, WI 53719
Phone (608) 663-8390

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1154897163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 DONOFRIO DR STE 208",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192839",
            "telephone_number": "608-663-8390",
            "fax_number": "608-663-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 DONOFRIO DR STE 208",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192839",
            "telephone_number": "608-663-8390",
            "fax_number": "608-663-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUES TO COMMUNITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "KEISLING",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "608-663-8390"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.