Organization Active NPI

Love Life Youth and Family Service Inc

  • Secured Medical Transport (VAN)
  • Milwaukee, WI
National Provider Identifier
1518384783
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
LOVE LIFE YOUTH AND FAMILY SERVICE INC
Practice address
9261 E W Allyn St
Milwaukee, WI 53206-4444
Phone
(414) 484-6750
Fax
(414) 446-9921
NPI assigned
Mar 25, 2014
Last updated
Mar 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Mr. William Ferguson I
Title
Executive Director
Phone
(414) 484-6750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X WI Primary

Addresses

Primary practice location

9261 E W Allyn St
Milwaukee, WI 53206-4444

Mailing address

9261 E W Allyn St
Milwaukee, WI 53206-4444
Phone (414) 484-6750

Other identifiers 1

IdentifierTypeStateIssuer
100035410MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1518384783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9261 E W ALLYN ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532064444",
            "telephone_number": "414-484-6750",
            "fax_number": "414-446-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9261 E W ALLYN ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532064444",
            "telephone_number": "414-484-6750",
            "fax_number": "414-446-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE LIFE YOUTH AND FAMILY SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-484-6750",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100035410",
            "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 Mar 25, 2014; 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.