Organization Active NPI

Phases of Life

  • Case Management Agency
  • Milwaukee, WI
National Provider Identifier
1326536509
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PHASES OF LIFE
Practice address
4814 N 58TH St
Milwaukee, WI 53218-4244
Phone
(414) 803-8535
NPI assigned
Apr 24, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
PHASES OF LIFE FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Shalon MetcalfNPI 1902393283
Title
Director
Phone
(414) 803-8535

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
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

4814 N 58TH St
Milwaukee, WI 53218-4244

Mailing address

4814 N 58TH St
Milwaukee, WI 53218-4244
Phone (414) 803-8535

National Provider Directory

National Provider Directory
Part of
Phases of Life

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": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1326536509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4814 N 58TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184244",
            "telephone_number": "414-803-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4814 N 58TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184244",
            "telephone_number": "414-803-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASES OF LIFE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHASES OF LIFE FAMILY SERVICES",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "METCALF",
        "authorized_official_first_name": "SHALON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-803-8535"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "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 Jun 16, 2018; 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.