Kims Haven LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KIMS HAVEN LLC

Practice address

1108 W Washington St Apt a
West Bend, WI 53095-2434

Phone

(262) 894-9758

NPI assigned

Oct 28, 2025

Last updated

Oct 28, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kalynn A Baxter

Title

Owner

Phone

(262) 894-9758

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1013885300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 W WASHINGTON ST APT A",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530952434",
            "telephone_number": "262-894-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 W WASHINGTON ST APT A",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530952434",
            "telephone_number": "262-894-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMS HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "KALYNN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-894-9758"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.