OrganizationActive
Mommy'S Miracle Pncc LLC
NPI 1114645090 · Case Management Agency · Milwaukee, WI
Provider details
- NPI number
- 1114645090
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Tatiana Gant, Owner(414) 306-2616
Specialties & taxonomies
Agencies
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7016 W Carmen Ave
Milwaukee, WI 53218-2218
Phone: (414) 306-2616
Street-level locationGet directions
Mailing address
7016 W Carmen Ave
Milwaukee, WI 53218-2218
Other names (DBA / former)
- Other name
- Mommy'S Miracle Pncc
Registry dates
- Enumerated
- 2022-08-17
- Last updated
- 2022-08-18
- Certified
- 2022-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.