Organization Active NPI

His House of Hope Adult Home, Inc.

  • Home Health Agency
  • Milwaukee, WI
National Provider Identifier
1881053924
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0014940 Issued in WI
Legal business name
HIS HOUSE OF HOPE ADULT HOME, INC.
Practice address
6694 N 83Rd St
Milwaukee, WI 53223-5568
Phone
(414) 416-9086
NPI assigned
Feb 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Mrs. Kimberly Rochelle Irving
Title
Administrative Assistant
Phone
(414) 416-9086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0014940 WI Primary

Addresses

Primary practice location

6694 N 83Rd St
Milwaukee, WI 53223-5568

Mailing address

6694 N 83Rd St
Milwaukee, WI 53223-5568
Phone (414) 416-9086

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1881053924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6694 N 83RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532235568",
            "telephone_number": "414-416-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6694 N 83RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532235568",
            "telephone_number": "414-416-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS HOUSE OF HOPE ADULT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "IRVING",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "414-416-9086",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "0014940",
            "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 Jan 11, 2017; 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.