Organization Active NPI

Hunters Haven of Kenosha, LLC

  • Physical Disabilities Residential Treatment Facility
  • Kenosha, WI
National Provider Identifier
1265601389
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
HUNTERS HAVEN OF KENOSHA, LLC
Practice address
5500 41St St
Kenosha, WI 53144-1839
Phone
(262) 656-1934
Fax
(262) 656-1939
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Ms. Brenda Yvette HunterNPI 1851560973
Title
President/Owner/Operator
Phone
(262) 656-1934

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X Primary

Addresses

Primary practice location

5500 41St St
Kenosha, WI 53144-1839

Mailing address

5500 41St St
Kenosha, WI 53144-1839
Phone (262) 656-1934

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1265601389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 41ST ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441839",
            "telephone_number": "262-656-1934",
            "fax_number": "262-656-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 41ST ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441839",
            "telephone_number": "262-656-1934",
            "fax_number": "262-656-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTERS HAVEN OF KENOSHA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/OPERATOR",
        "authorized_official_telephone_number": "262-656-1934",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "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 Feb 22, 2008; 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.