Active NPI
Butterflyz, LLC
Doing business as Omni Transitional Supportive Services
- Case Manager/Care Coordinator
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- BUTTERFLYZ, LLC
- Doing business as
- Omni Transitional Supportive Services
Quality Living Community Support Services - Practice address
- 3628 W Wright St
Milwaukee, WI 53210-3057 - Phone
- (414) 426-3575
- NPI assigned
- Jun 15, 2017
- Last updated
- Jun 16, 2018
- Organization subpart
- Yes
- Parent organization
- BUTTERFLYZ, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Baboonie Tatum, BS, M.ED
- Title
- Manager
- Phone
- (414) 915-8189
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Lodging Provider | 177F00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
3628 W Wright St
Milwaukee, WI 53210-3057
Mailing address
6235 N Teutonia Ave
Milwaukee, WI 53209-3648
Phone (414) 426-3575
Other names 2
- Omni Transitional Supportive Services
- Quality Living Community Support Services
National Provider Directory
National Provider Directory- Part of
- Butterflyz LLC
Locations
3628 W Wright St
Milwaukee, WI 53210
Phone (414) 426-3575
6235 N Teutonia Ave
Milwaukee, WI 53209
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.
-
- Driver
- Milwaukee, WI
- NPI 1639590979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1336679018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6235 N TEUTONIA AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532093648",
"telephone_number": "414-426-3575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3628 W WRIGHT ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532103057",
"telephone_number": "414-426-3575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUTTERFLYZ, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BUTTERFLYZ, LLC",
"enumeration_date": "2017-06-15",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "TATUM",
"authorized_official_first_name": "BABOONIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "414-915-8189",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "BS, M.ED"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Omni Transitional Supportive Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Quality Living Community Support Services",
"code": "3",
"type": "Doing Business As"
}
]
}
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.