Fervent Care Adult Home Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0015402 Issued in WI

Legal business name

FERVENT CARE ADULT HOME INC

Practice address

4957 N 18TH St
Milwaukee, WI 53209-5755

Phone

(414) 935-2513

Fax

(414) 935-2513

NPI assigned

Jan 11, 2018

Last updated

Jan 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lezar Burnside

Title

Manager

Phone

(414) 935-2513

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1326556416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4957 N 18TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095755",
            "telephone_number": "414-935-2513",
            "fax_number": "414-935-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4957 N 18TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095755",
            "telephone_number": "414-935-2513",
            "fax_number": "414-935-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERVENT CARE ADULT HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "BURNSIDE",
        "authorized_official_first_name": "LEZAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "414-935-2513"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "0015402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Ferrin
• Tara J Ferris, PA-C
• Amanda Ferrito, MD
• Caitlin Marie Ferron
• David Robert Ferron
• Cynthia Festge, RN -ANP
• Andrea J Fetherston, NP
• Victoria Fetter, M.D.
• Hannah Fettig, AUD
• Sandra Jane Fetzer, PHARMD

• Home Health Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.