Independent Family Service Providers of Milwaukee

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

INDEPENDENT FAMILY SERVICE PROVIDERS OF MILWAUKEE

Doing business as

Daisy Family Service Center

Practice address

4124 N 45TH St
Milwaukee, WI 53216-1521

Phone

(414) 445-0481

NPI assigned

Jan 21, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Chuntay Bluntson, BA

Title

Ceo

Phone

(773) 807-2771

Specialties & licenses 1

Addresses

Other names 1

• Daisy Family Service Center Doing business as

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1689097024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 N 45TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161521",
            "telephone_number": "414-445-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 N 45TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161521",
            "telephone_number": "414-445-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT FAMILY SERVICE PROVIDERS OF MILWAUKEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "BLUNTSON",
        "authorized_official_first_name": "CHUNTAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-807-2771",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daisy Family Service Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Case Management Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.