Active NPI
All for 1 Phase 1 Inc
- Adult Care Home Facility
- New Berlin, WI
National Provider Identifier
1801759022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- ALL FOR 1 PHASE 1 INC
- Practice address
- 12700 W Cleveland Ave
New Berlin, WI 53151-4008 - Phone
- (414) 236-5660
- Fax
- (414) 755-7676
- NPI assigned
- Dec 4, 2025
- Last updated
- Dec 5, 2025
- 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
- Detra Evon Ferguson
- Title
- Ceo
- Phone
- (414) 213-3966
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | NU | Primary |
Addresses
Primary practice location
12700 W Cleveland Ave
New Berlin, WI 53151-4008
Mailing address
7101 N Green Bay Ave Ste 7
Glendale, WI 53209-2800
Phone (414) 236-5660
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Case Manager/Care Coordinator
- Milwaukee, WI
- NPI 1487141099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764892800000",
"number": "1801759022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7101 N GREEN BAY AVE STE 7",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532092800",
"telephone_number": "414-236-5660",
"fax_number": "414-755-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12700 W CLEVELAND AVE",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531514008",
"telephone_number": "414-236-5660",
"fax_number": "414-755-7676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALL FOR 1 PHASE 1 INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-04",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A",
"authorized_official_last_name": "FERGUSON",
"authorized_official_first_name": "DETRA",
"authorized_official_middle_name": "EVON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "414-213-3966"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.