K.T. Adult Day Center LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

K.T. ADULT DAY CENTER LLC

Practice address

3766 N 86TH St
Milwaukee, WI 53222-2830

Phone

(414) 881-8991

NPI assigned

Oct 23, 2017

Organization subpart

No

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

Authorized official

Name

Kayanasadat Dakhili Tabatabaei

Title

Owner

Phone

(414) 881-8991

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1053822627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3766 N 86TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532222830",
            "telephone_number": "414-881-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3766 N 86TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532222830",
            "telephone_number": "414-881-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.T. ADULT DAY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "DAKHILI TABATABAEI",
        "authorized_official_first_name": "KAYANASADAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-881-8991"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Oct 23, 2017; 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.