Foster Care Youth Independence Center of Wisconsin, Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

FOSTER CARE YOUTH INDEPENDENCE CENTER OF WISCONSIN, INC

Practice address

2433 N Holton St
Milwaukee, WI 53212-2934

Phone

(414) 264-6290

Fax

(414) 264-6073

NPI assigned

Jul 31, 2009

Organization subpart

No

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

Authorized official

Name

Mr. James Allen Pekrul

Title

Chief Executive Officer

Phone

(414) 264-6290

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1821229345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 N HOLTON ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122934",
            "telephone_number": "414-264-6290",
            "fax_number": "414-264-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 N HOLTON ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122934",
            "telephone_number": "414-264-6290",
            "fax_number": "414-264-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER CARE YOUTH INDEPENDENCE CENTER OF WISCONSIN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "PEKRUL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "414-264-6290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fortis Management Holdings, Inc.
• Fortunate Futures
• Forward Choices, LLC
• Kevin Forward
• Mark Steven Fossie, MS, LMFT, CSAC, ICS
• Foster Friend Foundation
• Jolanda Foster-Rogers, LPC
• Brooke Foster
• Cathleen Denise Foster, MS, OTR
• Jamarrah Janay Foster, FNP-BC

• Voluntary or Charitable Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Voluntary or Charitable Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.