Kenosha Senior Living

LBN: Kenosha Senior Living, Inc.
Kenosha Senior Living is an health care organization with primary practice located at 3109 30Th Ave , Kenosha WI 53144-1673. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Kenosha Senior Living, Inc. can be contacted via phone (262) 656-1795, or through Johnson, Lee via phone (208) 401-1369.

Contact Information

Primary practice address
3109 30Th Ave Kenosha WI 53144-1673
Phone: (262) 656-1795
Fax: (262) 656-1875
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Lee
Phone: (208) 401-1369

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1790169944
LBN Legal business name Kenosha Senior Living, Inc.
DBA Doing business as Kenosha Senior Living
Authorized official Johnson, Lee
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2015
Last updated Jan 22nd, 2020 - about 4 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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