Organization Active NPI

Independencefirst

  • Home Health Agency
  • Milwaukee, WI
National Provider Identifier
1336143395
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
43104200 Issued in WI
Legal business name
INDEPENDENCEFIRST
Practice address
540 S 1St St
Milwaukee, WI 53204-1605
Phone
(414) 291-7520
Fax
(414) 291-7525
NPI assigned
Jun 8, 2005
Last updated
Apr 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Authorized official

Name
Mrs. Deb Langham
Title
Coo
Phone
(414) 226-8371

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 43104200 WI Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

540 S 1St St
Milwaukee, WI 53204-1605

Mailing address

540 S 1St St
Milwaukee, WI 53204-1605
Phone (414) 291-7520

Other identifiers 1

IdentifierTypeStateIssuer
43104200MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address personalcare@independencefirst.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Independencefirst Mobility Store2 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.

Locations

540 S 1st St
Milwaukee, WI 53204
Phone (414) 291-7520

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1336143395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 S 1ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532041605",
            "telephone_number": "414-291-7520",
            "fax_number": "414-291-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S 1ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532041605",
            "telephone_number": "414-291-7520",
            "fax_number": "414-291-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCEFIRST",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "LANGHAM",
        "authorized_official_first_name": "DEB",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "414-226-8371",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "43104200",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43104200",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "personalcare@independencefirst.org",
            "affiliation": "N",
            "endpointDescription": "direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "540 S 1st St",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532041605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 24, 2019; 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.