Provider Demographics
NPI:1851738298
Name:A PROMISE OF HOPE FOR MOTHERS
Entity Type:Organization
Organization Name:A PROMISE OF HOPE FOR MOTHERS
Other - Org Name:APOH HOME HEALTH/PC
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARTINA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCCLOUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-366-8898
Mailing Address - Street 1:2220 W NATIONAL AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53204-1033
Mailing Address - Country:US
Mailing Address - Phone:414-517-2559
Mailing Address - Fax:
Practice Address - Street 1:2220 W NATIONAL AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53204-1033
Practice Address - Country:US
Practice Address - Phone:414-517-2559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-24
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
305S00000X
WI311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No305S00000XManaged Care OrganizationsPoint of Service