OrganizationActive
Teen Moms Wellness Pncc, LLC
NPI 1922751353 · Case Management Agency · Milwaukee, WI
Teen Moms Wellness Pncc, LLC is a Case Management Agency organization in Milwaukee, WI (NPI 1922751353).
Provider details
- NPI number
- 1922751353
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Dominique Hatchett, Ceo(262) 218-1249
Specialties & taxonomies
Agencies
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
9713 W Lisbon Ave
Milwaukee, WI 53222-2533
Phone: (414) 630-4463
Street-level locationGet directions
Mailing address
9713 W Lisbon Ave
Milwaukee, WI 53222-2533
Registry dates
- Enumerated
- 2022-01-26
- Last updated
- 2022-03-11
- Certified
- 2022-03-11
Frequently asked questions
- What is Teen Moms Wellness Pncc, LLC's NPI number?
- Teen Moms Wellness Pncc, LLC's National Provider Identifier (NPI) is 1922751353, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Teen Moms Wellness Pncc, LLC?
- Teen Moms Wellness Pncc, LLC is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Teen Moms Wellness Pncc, LLC located?
- Teen Moms Wellness Pncc, LLC's practice location on file with NPPES is 9713 W Lisbon Ave, Milwaukee, WI 53222-2533.
- What is Teen Moms Wellness Pncc, LLC's phone number?
- The practice phone number listed in the NPPES registry for Teen Moms Wellness Pncc, LLC is (414) 630-4463.
- Who is the authorized official for Teen Moms Wellness Pncc, LLC?
- The authorized official listed on Teen Moms Wellness Pncc, LLC's NPPES record is Dominique Hatchett, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Teen Moms Wellness Pncc, LLC's NPI active?
- Yes — Teen Moms Wellness Pncc, LLC's NPI (1922751353) is active in the NPPES registry as of the last update on 2022-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.