Active NPI
Arither Hannah Chingota-Griffano
- Adult Care Home Facility
- West Bend, WI
National Provider Identifier
1245722347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 0017108
- Practice address
- 813 Fairview Dr
West Bend, WI 53090-1503 - Phone
- (414) 366-0009
- NPI assigned
- Jun 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 0017108 | WI | Primary |
Addresses
Primary practice location
813 Fairview Dr
West Bend, WI 53090-1503
Mailing address
7863 N 76TH St
Milwaukee, WI 53223-3913
Phone (414) 460-5056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0017108 | WI | MD | Adult Care Home Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1245722347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7863 N 76TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532233913",
"telephone_number": "414-460-5056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 FAIRVIEW DR",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530901503",
"telephone_number": "414-366-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINGOTA-GRIFFANO",
"first_name": "ARITHER",
"middle_name": "HANNAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-04",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "WI",
"license": "0017108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.