Organization Active NPI

Sacred Garden Inc

  • In Home Supportive Care Agency
  • Milwaukee, WI
National Provider Identifier
1790178952
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SACRED GARDEN INC
Practice address
4201 W Fond Du Lac Ave
Milwaukee, WI 53216-3527
Phone
(414) 871-1040
Fax
(414) 871-2419
NPI assigned
Mar 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Ms. Linda Swift
Title
Vice President
Phone
(414) 871-1040

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Adult Care Home Facility 311ZA0620X
Private Vehicle 347C00000X

Addresses

Primary practice location

4201 W Fond Du Lac Ave
Milwaukee, WI 53216-3527

Mailing address

4201 W Fond Du Lac Ave
Milwaukee, WI 53216-3527
Phone (414) 871-1040

National Provider Directory

National Provider Directory

Locations

4201 W Fond du Lac Ave
Milwaukee, WI 53216
Phone (414) 871-1040

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1790178952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W FOND DU LAC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163527",
            "telephone_number": "414-871-1040",
            "fax_number": "414-871-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W FOND DU LAC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163527",
            "telephone_number": "414-871-1040",
            "fax_number": "414-871-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED GARDEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "SWIFT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "414-871-1040",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Mar 12, 2015; 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.