Sacred Krumbs LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SACRED KRUMBS LLC

Practice address

3601 N 76TH St
Milwaukee, WI 53222-3008

Phone

(414) 719-0338

NPI assigned

May 3, 2021

Organization subpart

No

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

Authorized official

Name

Lynett Hudson

Title

Owner

Phone

(414) 719-0338

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1861075343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532223008",
            "telephone_number": "414-719-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532223008",
            "telephone_number": "414-719-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED KRUMBS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "LYNETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-719-0338"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Rachelle Sackmann, AU.D.
• James L Sacquitne, PA-C
• Sacred Garden Inc
• Sacred Heart Institute, Inc
• Sacred Heart Rehabilitation Institute, Inc
• Sacred Lives Prenatal Care, LLC
• Sacred Waters Midwifery, LLC
• Sacret Heart Rehabilitation Institute
• Sadashiv Santosh MD LLC
• Carrington James Saddler, MD

• Case Management Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Case Management Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.