Cream City Comfortable Living 2

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

CREAM CITY COMFORTABLE LIVING 2

Practice address

6336 N 104TH St
Milwaukee, WI 53225-1408

Phone

(414) 610-0124

NPI assigned

Sep 5, 2023

Organization subpart

No

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

Authorized official

Name

Kirby LockettNPI 1043847551

Title

Owner

Phone

(414) 610-0124

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirby Lockett

  • Transportation Broker
  • Milwaukee, WI
  • NPI 1043847551
  NPD Authorized official

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1952187007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5132 W MILL RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532181302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6336 N 104TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532251408",
            "telephone_number": "414-610-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREAM CITY COMFORTABLE LIVING 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "LOCKETT",
        "authorized_official_first_name": "KIRBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-610-0124"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latreona Jamera Crawford
• Alisa Ann Crawley
• Monedea Crayton, RN
• Cre8 Live Studios LLC
• Cream City Chiropractic
• Timothy John Creamer, D.D.S.
• Kaitlin A Creasap, NP
• Creating a Better You LLC
• Creating Brighter Futures
• Creating-a-Way LLC

• Adult Care Home Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Adult Care Home Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.