Organization Active NPI

Heaven Sent PNCC

  • Case Management Agency
  • Milwaukee, WI
National Provider Identifier
1588334932
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
HEAVEN SENT PNCC
Practice address
3944 N 13TH St
Milwaukee, WI 53206-3016
Phone
(414) 807-9850
NPI assigned
Sep 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Jekaris I Armon
Title
Owner
Phone
(414) 807-9850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3944 N 13TH St
Milwaukee, WI 53206-3016

Mailing address

3944 N 13TH St
Milwaukee, WI 53206-3016
Phone (414) 807-9850

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1588334932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3944 N 13TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532063016",
            "telephone_number": "414-807-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3944 N 13TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532063016",
            "telephone_number": "414-807-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN SENT PNCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "ARMON",
        "authorized_official_first_name": "JEKARIS",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-807-9850"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "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 Sep 16, 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.