Active NPI
Seeds for Change LLC
- Case Management Agency
- Madison, WI
National Provider Identifier
1669903753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 129785121
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.