Active NPI
Butterflyz, LLC
- Case Manager/Care Coordinator
- Milwaukee, WI
National Provider Identifier
1336679018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- BUTTERFLYZ, LLC
- Practice address
- 3628 W Wright St
Milwaukee, WI 53210-3057 - Phone
- (414) 426-3575
- NPI assigned
- Jun 15, 2017
- 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
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
6235 N Teutonia Ave
Milwaukee, WI 53209
3628 W Wright St
Milwaukee, WI 53210
Phone (414) 426-3575
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.