Kimps Adult Day Center, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

KIMPS ADULT DAY CENTER, LLC

Practice address

5302 W Burleigh St
Milwaukee, WI 53210-1622

Phone

(414) 788-1084

Fax

(414) 206-6909

NPI assigned

Aug 24, 2024

Organization subpart

No

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

Authorized official

Name

Tomiah JacksonNPI 1275403388

Title

Administrator

Phone

(414) 788-1084

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tomiah Jackson

  • Adult Day Care Clinic/Center
  • Wauwatosa, WI
  • NPI 1275403388
  NPD Authorized official

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

{
    "created_epoch": "1724457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724457600000",
    "number": "1043043904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 N 41ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102935",
            "telephone_number": "414-788-1084",
            "fax_number": "414-206-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 W BURLEIGH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101622",
            "telephone_number": "414-788-1084",
            "fax_number": "414-206-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMPS ADULT DAY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-24",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TOMIAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-788-1084"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Kimbrough, HOLISTIC BIRTH DOULA
• Keshania S Kimbrough
• Shakima Sonyetta Kimbrough
• Erinn E Kimmler, CRNA
• Jennifer Kimmons
• Margaret Kimsey, DPM
• Jiro Kimura
• Wai Kincaid, SLP
• Kind Hands Health Care Agency, LLC
• Kind Optical Inc

• Adult Day Care Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Adult Day Care Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; 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.