Organization Active NPI

All for 1 Phase 1 Inc

  • Adult Care Home Facility
  • New Berlin, WI
National Provider Identifier
1801759022
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Detra Evon FergusonNPI 1487141099
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.