Organization Active NPI

Serving Ambassador, Inc

  • Home Health Agency
  • South Milwaukee, WI
National Provider Identifier
1639726854
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERVING AMBASSADOR, INC
Practice address
1333 College Ave Ste J
South Milwaukee, WI 53172-1150
Phone
(262) 415-5609
NPI assigned
Aug 22, 2019
Last updated
Jan 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Authorized official

Name
Rosetta Strong
Title
Owner
Phone
(262) 415-5609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1333 College Ave Ste J
South Milwaukee, WI 53172-1150

Mailing address

PO Box 240946
Milwaukee, WI 53224-9024
Phone (262) 415-5609

National Provider Directory

National Provider Directory

Locations

1333 College Ave
Ste J
South Milwaukee, WI 53172
Phone (262) 415-5609

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1639726854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240946",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532249024",
            "telephone_number": "262-415-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 COLLEGE AVE STE J",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531721150",
            "telephone_number": "262-415-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVING AMBASSADOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "STRONG",
        "authorized_official_first_name": "ROSETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-415-5609"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.