Wisc Residential Services Corp

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

WISC RESIDENTIAL SERVICES CORP

Practice address

4152 N 35TH St
Milwaukee, WI 53216-1708

Phone

(414) 239-2817

NPI assigned

Aug 19, 2025

Organization subpart

No

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

Authorized official

Name

Keyanna Allen

Title

Owner

Phone

(414) 239-2817

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1033096243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16492",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532160492",
            "telephone_number": "414-239-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 N 35TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161708",
            "telephone_number": "414-239-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISC RESIDENTIAL SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "KEYANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-239-2817"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "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 Aug 19, 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.