Big Mama House LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

BIG MAMA HOUSE LLC

Practice address

3365 N 53Rd St
Milwaukee, WI 53216-3260

Phone

(414) 722-7304

NPI assigned

Oct 8, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Johnelle Sharnise SmithNPI 1598335911

Title

Owner

Phone

(414) 722-7304

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johnelle Sharnise Smith

  • Case Manager/Care Coordinator
  • Milwaukee, WI
  • NPI 1598335911
  NPD Authorized official

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1326700147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 N 53RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163260",
            "telephone_number": "414-722-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 N 53RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163260",
            "telephone_number": "414-722-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG MAMA HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHNELLE",
        "authorized_official_middle_name": "SHARNISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-722-7304",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bienestar Psychiatric Services LLC
• Elise Ann Biesboer
• Trenton Biesterfeld, PT, DPT
• Abby Biesterveld, PHARMD
• Laura Margaret Biesterveld
• Jill C Bigart, RN
• Allyson Dawn Bigelow, PA
• Christina A Biggs, PA-C
• Elisabeth Catherine Biggs, PA-C
• Delaney Bignell

• Case Management Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Case Management Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.