Organization Active NPI

Obi Home Care

Doing business as Obi LLC

  • Adult Day Care Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1265988117
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
0016048 Issued in WI
Legal business name
OBI HOME CARE
Doing business as
Obi LLC
Practice address
4439 S 20TH St
Milwaukee, WI 53221
Phone
(414) 334-0252
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Jamila S. Mahmoud, 0016048
Title
Owner
Phone
(414) 334-0252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 0016048 WI Primary

Addresses

Primary practice location

4439 S 20TH St
Milwaukee, WI 53221

Mailing address

4441 S 20TH St
Milwaukee, WI 53221-2301
Phone (414) 334-0252

Other names 1

  • OBI LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1265988117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 S 20TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212301",
            "telephone_number": "414-334-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 S 20TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53221",
            "telephone_number": "414-334-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBI HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "MAHMOUD",
        "authorized_official_first_name": "JAMILA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-334-0252",
        "authorized_official_credential": "0016048"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "WI",
            "license": "0016048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OBI LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 31, 2016; 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.