Active NPI
Love Life Youth and Family Service Inc
- Secured Medical Transport (VAN)
- Milwaukee, WI
National Provider Identifier
1518384783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Secured Medical Transport (VAN)
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100035410 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI 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.