Active NPI
We Still Have Hope in Our Youth Inc.
- Public Health or Welfare Agency
- Milwaukee, WI
National Provider Identifier
1760997860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- WE STILL HAVE HOPE IN OUR YOUTH INC.
- Practice address
- 4129 N 20TH St
Milwaukee, WI 53209-6812 - Phone
- (414) 507-0266
- NPI assigned
- Dec 11, 2017
- Last updated
- Dec 11, 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
- Shalonda Ezell
- Title
- Owner
- Phone
- (414) 202-8385
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | NU | Primary |
Addresses
Primary practice location
4129 N 20TH St
Milwaukee, WI 53209-6812
Mailing address
3805 W Center St
Milwaukee, WI 53210-2555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598153033 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
3805 W Center St
Milwaukee, WI 53210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512950400000",
"number": "1760997860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3805 W CENTER ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532102555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4129 N 20TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532096812",
"telephone_number": "414-507-0266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WE STILL HAVE HOPE IN OUR YOUTH INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-11",
"last_updated": "2017-12-11",
"status": "A",
"authorized_official_last_name": "EZELL",
"authorized_official_first_name": "SHALONDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-202-8385"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1598153033",
"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 11, 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.