Exodus Family Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

3084-123 Issued in WI

Legal business name

EXODUS FAMILY SERVICES

Practice address

3353 N Martin Luther King Dr
Milwaukee, WI 53212-1455

Phone

(414) 550-9646

NPI assigned

May 2, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Alexander Hardy, MSW

Title

Social Worker

Phone

(414) 550-9646

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Exodus Family Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Exodus Family Services, LLC

  • Community/Behavioral Health Agency
  • Milwaukee, WI
  • NPI 1962640466
  NPD tax ID

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1437325032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2556 N SHERMAN BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102948",
            "telephone_number": "414-550-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 N MARTIN LUTHER KING DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121455",
            "telephone_number": "414-550-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXODUS FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "414-550-9646",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "3084-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39581200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Express 1 Services
• Express Transit Inc.

• Community/Behavioral Health Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.