Sacred Lives Prenatal Care, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SACRED LIVES PRENATAL CARE, LLC

Practice address

2739 N 41St St
Milwaukee, WI 53210-2421

Phone

(414) 375-5666

NPI assigned

Feb 20, 2023

Last updated

Feb 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rabany ClaybornNPI 1003163460

Title

Ceo

Phone

(414) 881-2482

Specialties & licenses 1

Addresses

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.

• Rabany Clayborn, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Milwaukee, WI
  • NPI 1003163460
  NPD Authorized official

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1922706845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 N 53RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2739 N 41ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102421",
            "telephone_number": "414-375-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED LIVES PRENATAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "CLAYBORN",
        "authorized_official_first_name": "RABANY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-881-2482"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Feb 20, 2023; 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.