Organization Active NPI

Butterflyz, LLC

  • Case Manager/Care Coordinator
  • Milwaukee, WI
National Provider Identifier
1336679018
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as
  • Quality Living Community Support Services Doing business as

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.

Verify at the official NPI Registry.