NPIMap

Organization Active NPI

Exodus Family Services, LLC

  • Community/Behavioral Health Agency
  • Milwaukee, WI
National Provider Identifier
1962640466
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2801 Issued in WI
Legal business name
EXODUS FAMILY SERVICES, LLC
Practice address
3353 N Martin Luther King Dr
Milwaukee, WI 53212-1455
Phone
(414) 559-6121
Fax
(414) 445-7858
NPI assigned
Jan 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Mr. Alexander Hardy, MSW
Title
Executive Director/Therapist
Phone
(414) 559-6121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2801 WI Primary

Addresses

Primary practice location

3353 N Martin Luther King Dr
Milwaukee, WI 53212-1455

Mailing address

3353 N Martin Luther King Dr
Milwaukee, WI 53212-1455
Phone (414) 559-6121

National Provider Directory

National Provider Directory
Tax ID family
Exodus Family Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1962640466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 N MARTIN LUTHER KING DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121455",
            "telephone_number": "414-559-6121",
            "fax_number": "414-445-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 N MARTIN LUTHER KING DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121455",
            "telephone_number": "414-559-6121",
            "fax_number": "414-445-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXODUS FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "414-559-6121",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2801",
            "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 22, 2009; 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.