Active NPI
Sam's Hpuse
- Case Management Agency
- Milwaukee, WI
National Provider Identifier
1295140036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- SAM'S HPUSE
- Practice address
- 505 N 26TH St
Milwaukee, WI 53233-2528 - Phone
- (262) 262-5271
- NPI assigned
- Jun 30, 2014
- Last updated
- Jun 30, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Sander-Gray
- Title
- Manager
- Phone
- (262) 527-1282
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
505 N 26TH St
Milwaukee, WI 53233-2528
Mailing address
PO Box 13201
Wauwatosa, WI 53213-0201
Phone (262) 262-5271
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404086400000",
"number": "1295140036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13201",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532130201",
"telephone_number": "262-262-5271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N 26TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532332528",
"telephone_number": "262-262-5271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAM'S HPUSE",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-30",
"last_updated": "2014-06-30",
"status": "A",
"authorized_official_last_name": "SANDER-GRAY",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "12625271282"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"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 Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.