Organization Active NPI

Heaven Sent Prenatal Care Agency

  • Case Management Agency
  • Brown Deer, WI
National Provider Identifier
1770176067
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
HEAVEN SENT PRENATAL CARE AGENCY
Practice address
9418 N Green Bay Rd Apt 333
Brown Deer, WI 53209-1072
Phone
(262) 599-4683
NPI assigned
Feb 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
Julius R Malone Jr.
Title
Owner
Phone
(262) 599-4683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

9418 N Green Bay Rd Apt 333
Brown Deer, WI 53209-1072

Mailing address

9418 N Green Bay Rd Apt 333
Brown Deer, WI 53209-1072
Phone (262) 599-4683

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1770176067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9418 N GREEN BAY RD APT 333",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532091072",
            "telephone_number": "262-599-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9418 N GREEN BAY RD APT 333",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532091072",
            "telephone_number": "262-599-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN SENT PRENATAL CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-599-4683",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brown Deer, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.