Organization Active NPI

Jabez Transitional Living Center

  • Non-emergency Medical Transport (VAN)
  • Milwaukee, WI
National Provider Identifier
1700189867
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
JABEZ TRANSITIONAL LIVING CENTER
Practice address
5926 N Teutonia Ave
Milwaukee, WI 53209-4148
Phone
(414) 462-5532
Fax
(414) 462-5529
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Ms. Sherri A Bond
Title
Executive Director
Phone
(414) 462-5532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X WI Primary

Addresses

Primary practice location

5926 N Teutonia Ave
Milwaukee, WI 53209-4148

Mailing address

5926 N Teutonia Ave
Milwaukee, WI 53209-4148
Phone (414) 462-5532

Other identifiers 1

IdentifierTypeStateIssuer
100012658MedicaidWI

National Provider Directory

National Provider Directory

Locations

5926 N Teutonia Ave
Milwaukee, WI 53209
Phone (414) 344-9277

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1700189867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5926 N TEUTONIA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532094148",
            "telephone_number": "414-462-5532",
            "fax_number": "414-462-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5926 N TEUTONIA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532094148",
            "telephone_number": "414-462-5532",
            "fax_number": "414-462-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JABEZ TRANSITIONAL LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-462-5532",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100012658",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.