Powell Enterprises LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

POWELL ENTERPRISES LLC

Doing business as

Royale Transitional Living Homes

Practice address

4047 32ND Ave
Kenosha, WI 53144-1914

Phone

(262) 914-2216

NPI assigned

Jun 28, 2023

Last updated

Jun 28, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

ROYALE TRANSITIONAL LIVING HOMESAs reported in NPPES

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

Authorized official

Name

Ms. Tiffany Shea PowellNPI 1992495618

Title

Owner

Phone

(262) 914-2216

Specialties & licenses 1

Addresses

Other names 1

• Royale Transitional Living Homes Doing business as

Part of

Powell Enterprises LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany Powell

  • Adult Care Home Facility
  • Kenosha, WI
  • NPI 1992495618
  NPD Authorized official

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1275210791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4047 32ND AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441914",
            "telephone_number": "262-914-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4047 32ND AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441914",
            "telephone_number": "262-914-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL ENTERPRISES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROYALE TRANSITIONAL LIVING HOMES",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "SHEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-914-2216",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royale Transitional Living Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maggie Popp
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• Theresa C Potente, LCSW
• Anupama Potineni
• Nicholas Aaron Potter, B.A.
• Tiffany Powell
• Pradeep G. Kumar MD Inc
• Emily Elizabeth Prahlow, LMFT
• Prairie Orthdontics S.C.
• Carla Doreen Pratt, LPC-IT

• Adult Care Home Facility in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Adult Care Home Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.