Kenosha Area Family And Aging Services, Inc.

LBN: Kenosha Area Family And Aging Services, Inc.
Kenosha Area Family And Aging Services, Inc. is an health care organization with primary practice located at 7730 Sheridan Rd , Kenosha WI 53143-1518. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. Kenosha Area Family And Aging Services, Inc. can be contacted via phone (262) 658-3508, or through Brown, Gary G via phone (262) 658-3508.

Contact Information

Primary practice address
7730 Sheridan Rd Kenosha WI 53143-1518
Phone: (262) 658-3508
Fax: (262) 658-2263
Website:
Map and Directions
Authorized official contact:
Name: Brown, Gary G
Phone: (262) 658-3508

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X

Profile Details

NPI number 1669648242
LBN Legal business name Kenosha Area Family And Aging Services, Inc.
DBA Doing business as
Authorized official Brown, Gary G
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2008
Last updated May 5th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669648242 NPPES
Wisconsin MEDICAID 44007400

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