Supportive Angels

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SUPPORTIVE ANGELS

Practice address

9262 N 60TH St
Milwaukee, WI 53223-1502

Phone

(414) 514-1025

NPI assigned

Nov 27, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Danielle T Gordon, RN

Title

PNCC RN

Phone

(414) 514-1025

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1346016771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9262 N 60TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532231502",
            "telephone_number": "414-514-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9262 N 60TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532231502",
            "telephone_number": "414-514-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE ANGELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PNCC RN",
        "authorized_official_telephone_number": "414-514-1025",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Krista Supinger, PSY.D.
• Support Care LLC
• Supportive Care Family Home LLC
• Supportive Living Home Health Care
• Supportive Living Home Health Care
• Supportive Personal Care Services
• Supreme Home Care

• 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 Nov 27, 2023; 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.