Kenosha Achievement Center
LBN: Kenosha Achievement Center
Kenosha Achievement Center is an health care organization with primary practice located at 1218 79Th St , Kenosha WI 53143-6111. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is the primary health care specialty.
Kenosha Achievement Center can be contacted via phone (262) 658-9500, or through Weyker, Christine via phone (262) 658-9650.
Contact Information
Primary practice address
1218 79Th St
Kenosha WI 53143-6111
Phone: (262) 658-9500
Fax: (262) 658-9621
Website:
Health care specialties
Profile Details
| NPI number | 1013974849 |
|---|---|
| LBN Legal business name | Kenosha Achievement Center |
| DBA Doing business as | |
| Authorized official | Weyker, Christine |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Apr 4th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013974849 | NPPES |
| Wisconsin | MEDICAID | 41217500 |
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