NPIMap

Organization Active NPI

Kenosha Human Development Services, Inc

  • Case Management Agency
  • Kenosha, WI
National Provider Identifier
1104622620
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
KENOSHA HUMAN DEVELOPMENT SERVICES, INC
Practice address
3536 52ND St
Kenosha, WI 53144-2662
Phone
(262) 764-8555
Fax
(262) 653-2080
NPI assigned
Feb 24, 2025
Organization subpart
Yes
Parent organization
KENOSHA HUMAN DEVELPOMENT SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Mrs. Jeannine M Field
Title
Executive Director
Phone
(414) 764-8512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3536 52ND St
Kenosha, WI 53144-2662

Mailing address

3536 52ND St
Kenosha, WI 53144-2662
Phone (262) 764-8555

National Provider Directory

National Provider Directory
Tax ID family
Kenosha Human Development2 organizations share this tax ID, including this one
Part of
Kenosha Human Development

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3536 52nd St
Kenosha, WI 53144
Phone (262) 764-8555

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1104622620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 52ND ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531442662",
            "telephone_number": "262-764-8555",
            "fax_number": "262-653-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 52ND ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531442662",
            "telephone_number": "262-764-8555",
            "fax_number": "262-653-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENOSHA HUMAN DEVELOPMENT SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENOSHA HUMAN DEVELPOMENT SERVICES, INC.",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "FIELD",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-764-8512",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

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