Organization Active NPI

Grow My Life, LLC

  • Community/Behavioral Health Agency
  • Plover, WI
National Provider Identifier
1538499686
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
127906121 Issued in WI
Legal business name
GROW MY LIFE, LLC
Practice address
2411 Magnolia Dr
Plover, WI 54467-2951
Phone
(715) 254-5844
NPI assigned
Jan 12, 2010
Last updated
Jan 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Authorized official

Name
Mr. Dana Lee Strohm, MSWNPI 1477883627
Title
Owner/Operator
Phone
(414) 803-6372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 127906121 WI Primary

Addresses

Primary practice location

2411 Magnolia Dr
Plover, WI 54467-2951

Mailing address

2411 Magnolia Dr
Plover, WI 54467-2951
Phone (715) 254-5844

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1538499686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 MAGNOLIA DR",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544672951",
            "telephone_number": "715-254-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 MAGNOLIA DR",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544672951",
            "telephone_number": "715-254-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW MY LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "STROHM",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "414-803-6372",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "127906121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plover, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.