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ADVOCATES FOR HEALTHY TRANSITIONAL LIVING LLC NPI 1285902015


NPI Information

NPI: 1285902015
Provider Name: ADVOCATES FOR HEALTHY TRANSITIONAL LIVING, LLC

Other Name: FOSTER CARE ACADEMY

Classification: Foster Care Agency - 253J00000X
Entity Type: Organization
Address:
3021 HOLMGREN WAY
SUITE 203
GREEN BAY, WI
ZIP 54304
Phone: (920) 634-6162
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ADVOCATES FOR HEALTHY TRANSITIONAL LIVING, LLC is a foster care agency in Green Bay, WI. The provider is a Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. ADVOCATES FOR HEALTHY TRANSITIONAL LIVING, LLC NPI is 1285902015. The provider is registered as an organization entity type.
The provider Other Name Is Foster Care Academy.

The provider's business location address is:

3021 HOLMGREN WAY
SUITE 203
GREEN BAY, WI
ZIP 54304-302
Phone: (920) 634-6162
Fax: (920) 339-9374

The provider's authorized official is Daniel Robert Holstead .
The authorized official title is Director and has the following contact phone number (920) 634-6162.

The enumeration date for this NPI number is 12/7/2011 and was last updated on 12/7/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253J00000XFoster Care Agency8038182WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
139761600MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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