First Class Care Wisconsin LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

0015719 Issued in WI

Legal business name

FIRST CLASS CARE WISCONSIN LLC

Practice address

5441 N 73Rd St
Milwaukee, WI 53218-2826

Phone

(414) 763-2072

NPI assigned

Jul 19, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Igoni Igoni

Title

Co Owner

Phone

(414) 763-2072

Specialties & licenses 1

Addresses

Tax ID family

First Class Care Wisconsin LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• First Class Care Wisconsin LLC

  • Adult Care Home Facility
  • Milwaukee, WI
  • NPI 1215805981
  NPD tax ID

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285157529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 N 73RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532182826",
            "telephone_number": "414-763-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5441 N 73RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532182826",
            "telephone_number": "414-763-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CLASS CARE WISCONSIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "IGONI",
        "authorized_official_first_name": "IGONI",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "414-763-2072",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "WI",
            "license": "0015719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmental Disabilities Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Developmental Disabilities Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.