Organization Active NPI

Your Best Life, Inc

  • Voluntary or Charitable Agency
  • Grafton, WI
National Provider Identifier
1538831094
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
YOUR BEST LIFE, INC
Practice address
2360 Dakota Dr
Grafton, WI 53024-9811
Phone
(262) 483-4061
NPI assigned
Oct 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Shana Wild
Title
Co-Director
Phone
(262) 483-4061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

2360 Dakota Dr
Grafton, WI 53024-9811

Mailing address

2360 Dakota Dr
Grafton, WI 53024-9811
Phone (262) 483-4061

National Provider Directory

National Provider Directory

Locations

2360 Dakota Dr
Grafton, WI 53024
Phone (262) 483-4061

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1538831094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 DAKOTA DR",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530249811",
            "telephone_number": "262-483-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 DAKOTA DR",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530249811",
            "telephone_number": "262-483-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR BEST LIFE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "WILD",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "262-483-4061"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.