Organization Active NPI

Seeds for Change LLC

  • Case Management Agency
  • Madison, WI
National Provider Identifier
1669903753
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
129785121 Issued in WI
Legal business name
SEEDS FOR CHANGE LLC
Practice address
6602 Grand Teton PLZ
Suite 50-a
Madison, WI 53719-1091
Phone
(608) 512-6779
NPI assigned
Mar 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Gil Roth, APSW
Title
Social Worker
Phone
(608) 512-6779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 129785121 WI Primary

Addresses

Primary practice location

6602 Grand Teton PLZ
Suite 50-a
Madison, WI 53719-1091

Mailing address

6602 Grand Teton PLZ
Suite 50-a
Madison, WI 53719-1091
Phone (608) 512-6779

National Provider Directory

National Provider Directory

Locations

6441 Enterprise Ln
Ste 114A
Madison, WI 53719
Phone (608) 512-6779

6602 Grand Teton Plz
Ste 50A
Madison, WI 53719
Phone (608) 512-6779

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1669903753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6602 GRAND TETON PLZ",
            "address_2": "SUITE 50-A",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191091",
            "telephone_number": "608-512-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 GRAND TETON PLZ",
            "address_2": "SUITE 50-A",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191091",
            "telephone_number": "608-512-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEEDS FOR CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "GIL",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "608-512-6779",
        "authorized_official_credential": "APSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WI",
            "license": "129785121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.