Sankofa Pca, LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

SANKOFA PCA, LLC

Practice address

3536 W Fond Du Lac Ave Ste 3
Milwaukee, WI 53216-3737

Phone

(414) 758-8195

NPI assigned

Sep 23, 2021

Organization subpart

No

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

Authorized official

Name

Andrew Ellis

Title

Owner

Phone

(414) 758-8195

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1255002770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 W FOND DU LAC AVE STE 3",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163737",
            "telephone_number": "414-758-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 W FOND DU LAC AVE STE 3",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163737",
            "telephone_number": "414-758-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANKOFA PCA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-758-8195"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@sankofapca.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3536 W Fond Du Lac Ave # 3",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532163737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eleanor Eusebio Sangalang, OTR/L
• James R Sanger, MD
• Joelle L Sanger, CRNA
• Payal Kantilal Sanghani, M.D.
• Lora Sankey, DPT
• Praveen Sankrithi
• Famara Sanneh
• Dane Sannes, MD
• April Carmen Santa Anna
• Kenneth Santana, SAC-IT

• Personal Care Attendant in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Personal Care Attendant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.