Organization Active NPI

We Still Have Hope in Our Youth Inc.

  • Public Health or Welfare Agency
  • Milwaukee, WI
National Provider Identifier
1760997860
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1598153033MedicaidWI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.