Organization Active NPI

Faith and Peace Afh

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Milwaukee, WI
National Provider Identifier
1275417578
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
FAITH AND PEACE AFH
Practice address
3314 W Oriole Dr
Milwaukee, WI 53209-4101
Phone
(414) 322-4595
Fax
(414) 446-5836
NPI assigned
Aug 1, 2025
Last updated
Aug 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Ms. Shavon TuckerNPI 1356167316
Title
Owner/Provider
Phone
(414) 322-4595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

3314 W Oriole Dr
Milwaukee, WI 53209-4101

Mailing address

3314 W Oriole Dr
Milwaukee, WI 53209-4101
Phone (414) 322-4595

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1275417578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 W ORIOLE DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532094101",
            "telephone_number": "414-322-4595",
            "fax_number": "414-446-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 W ORIOLE DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532094101",
            "telephone_number": "414-322-4595",
            "fax_number": "414-446-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH AND PEACE AFH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "SHAVON",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "414-322-4595",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 1, 2025; 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.