Aurora Health Care Wic

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

AURORA HEALTH CARE WIC

Practice address

1218 W Kilbourn Ave
Suite 207
Milwaukee, WI 53233-1330

Phone

(414) 219-3210

NPI assigned

Oct 9, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Jen M. Agnello, RD CD

Title

Manager, Wic Program

Phone

(414) 219-3344

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Aurora Health Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Aurora Health Care

  • Anesthesiologist Assistant
  • Milwaukee, WI
  • NPI 1558729277
  NPD tax ID
• Aurora Health Care, Inc.

  • Family Medicine Physician
  • Milwaukee, WI
  • NPI 1447282934
  NPD tax ID

Locations

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1619202546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 W KILBOURN AVE",
            "address_2": "SUITE 207",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331330",
            "telephone_number": "414-219-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 W KILBOURN AVE",
            "address_2": "SUITE 207",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331330",
            "telephone_number": "414-219-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA HEALTH CARE WIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "AGNELLO",
        "authorized_official_first_name": "JEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER, WIC PROGRAM",
        "authorized_official_telephone_number": "414-219-3344",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD CD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "251K00000X",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aurora Health Care Metro, Inc.
• Aurora Health Care Metro, Inc.
• Aurora Health Care Metro, Inc.
• Aurora Health Care Ventures Inc
• Aurora Health Care Ventures Inc
• Aurora Health Care, Inc.
• Aurora Home Care LLC
• Aurora Home Care LLC
• Aurora Medical Group, Inc.
• Aurora Medical Group, Inc.

• Public Health or Welfare Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Public Health or Welfare Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.