ADVOCATES FOR HEALTHY TRANSITIONAL LIVING, LLC (NPI# 1285902015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285902015 |
| Entity Type | Organization |
| Organization Name | ADVOCATES FOR HEALTHY TRANSITIONAL LIVING, LLC |
| Other Organization Name | FOSTER CARE ACADEMY |
| Practice Address |
3021 Holmgren Way Suite 203 Green Bay WI 54304-6302 |
| Practice Telephone | 9206346162 |
| Practice Fax Number | 9203399374 |
| Mailing Telephone | 9206346162 |
| Mailing Fax Number | 9203399374 |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |
| Authorized Official Name | MR. DANIEL ROBERT HOLSTEAD (DIRECTOR) |
| Authorized Official Telephone | 9206346162 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 8038182 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39761600 | 05 |
| Other Name | Type Code |
|---|---|
| Foster Care Academy | Other Name - Individual/Organization |
| Street Address |
3021 HOLMGREN WAY SUITE 203 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417107590 | New Hope Counseling Center of Wi, Inc. | Community/Behavioral Health | 3021 Holmgren Way, #203, Green Bay, WI 54304-6302 | 2008-09-24 |
| 1033349436 | Gam Behavioral Health Services LLC | Clinic/Center | 3021 Holmgren Way, Suite 203a, Green Bay, WI 54304-6302 | 2009-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| 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. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114485562 | Darjune Foundation, Inc. | Foster Care Agency | 130 N Maple Ave, Green Bay, WI 54303-2748 | 2019-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669930673 | Family Works Programs, Inc. | Foster Care Agency | 5604 Medical Cir, Madison, WI 53719-1204 | 2019-03-08 |
| 1659747368 | Fillyaw Hill Adult Family Home | Foster Care Agency | 637 E 3rd St, Richland Center, WI 53581-1539 | 2015-08-17 |
| 1861751562 | Bad River Band of Lake Superior Tribe of Chippewa Indians | Foster Care Agency | 72772 Elm Street, Odanah, WI 54861-0055 | 2012-05-15 |
| 1598036873 | Anu Family Services, Inc. | Foster Care Agency | 516 2nd St Ste 209, Hudson, WI 54016-1551 | 2012-01-19 |
| 1720374119 | Benevolence First, Inc | Foster Care Agency | 5626 N 91st St, Suite 104, Milwaukee, WI 53225-2745 | 2011-06-23 |
| 1154563641 | Teipner Treatment Homes, Inc | Foster Care Agency | 104 W Linden Dr Ste A, Jefferson, WI 53549-2801 | 2009-03-30 |
| 1609043165 | St Aemilian Lakeside Inc | Foster Care Agency | 8901 W Capitol Dr, Milwaukee, WI 53222-1706 | 2008-05-14 |
| 1669646584 | Community Care Resources Inc | Foster Care Agency | 6717 Stone Glen Drive, Middleton, WI 53562-3876 | 2008-04-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.