NPIMap

Organization Active NPI

Mom2Mom PNCC LLC

  • Case Management Agency
  • Milwaukee, WI
National Provider Identifier
1861117251
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MOM2MOM PNCC LLC
Practice address
7300 W Dean Rd Apt 1160N
Milwaukee, WI 53223-0023
Phone
(414) 748-7919
NPI assigned
Oct 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Natasia ShawNPI 1568270536
Title
Owner
Phone
(414) 748-7919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

7300 W Dean Rd Apt 1160N
Milwaukee, WI 53223-0023

Mailing address

7300 W Dean Rd Apt 1160N
Milwaukee, WI 53223-0023

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.

NPI Registry JSON

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1861117251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 W DEAN RD APT 1160N",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532230023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 W DEAN RD APT 1160N",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532230023",
            "telephone_number": "414-748-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOM2MOM PNCC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "NATASIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-748-7919"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Dec 17, 2024; 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.