Organization Active NPI

New Hope Adult Community Center

  • Adult Day Care Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1528568102
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
0014754 Issued in WI
Legal business name
NEW HOPE ADULT COMMUNITY CENTER
Practice address
2433 W Roosevelt Dr
Milwaukee, WI 53209-6640
Phone
(414) 871-0350
Fax
(414) 871-4219
NPI assigned
Feb 20, 2018
Last updated
Feb 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Authorized official

Name
Mary L Jackson, LPN
Title
Director
Phone
(414) 871-0350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 0014754 WI Primary

Addresses

Primary practice location

2433 W Roosevelt Dr
Milwaukee, WI 53209-6640

Mailing address

2433 W Roosevelt Dr
Milwaukee, WI 53209-6640
Phone (414) 871-0350

National Provider Directory

National Provider Directory

Locations

2433 W Roosevelt Dr
Milwaukee, WI 53209
Phone (414) 807-3824

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1528568102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 W ROOSEVELT DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532096640",
            "telephone_number": "414-871-0350",
            "fax_number": "414-871-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 W ROOSEVELT DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532096640",
            "telephone_number": "414-871-0350",
            "fax_number": "414-871-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOPE ADULT COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-871-0350",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "WI",
            "license": "0014754",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 20, 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.