Organization Active NPI

Synergy Outreach Services

  • Case Management Agency
  • Milwaukee, WI
National Provider Identifier
1407362106
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SYNERGY OUTREACH SERVICES
Practice address
314 W Washington St
Milwaukee, WI 53204-2457
Phone
(414) 659-3060
Fax
(414) 386-7913
NPI assigned
Dec 18, 2017
Organization subpart
Yes
Parent organization
XAVIER HOME HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
Mr. Jermaine Young
Title
Administrator
Phone
(414) 659-3060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X WI Primary

Addresses

Primary practice location

314 W Washington St
Milwaukee, WI 53204-2457

Mailing address

314 W Washington St
Milwaukee, WI 53204-2457
Phone (414) 659-3060

Other identifiers 1

IdentifierTypeStateIssuer
100034505MedicaidWI

National Provider Directory

National Provider Directory
Part of
Xavier Home Healthcare

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1407362106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W WASHINGTON ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532042457",
            "telephone_number": "414-659-3060",
            "fax_number": "414-386-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W WASHINGTON ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532042457",
            "telephone_number": "414-659-3060",
            "fax_number": "414-386-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY OUTREACH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "XAVIER HOME HEALTHCARE",
        "enumeration_date": "2017-12-18",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JERMAINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-659-3060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100034505",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "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 26, 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.