Organization Active NPI

Kaak Living

  • Adult Day Care Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1417571050
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
KAAK LIVING
Practice address
5938 N 76TH Street
Milwaukee, WI 53218
Phone
(414) 406-4392
Fax
(414) 488-2311
NPI assigned
May 29, 2020
Last updated
May 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Authorized official

Name
Ms. Lazanda D Moore
Title
Owner/Director
Phone
(414) 406-4392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

5938 N 76TH Street
Milwaukee, WI 53218

Mailing address

11413 N Meadowbrook Dr
Mequon, WI 53097-3136
Phone (414) 406-4392

Other names 2

  • KAAK LIVING ADULT DAY CARE CENTER Other name
  • KAAK LIVING SUPPORT HOME CARE AGENCY Other name

National Provider Directory

National Provider Directory

Locations

5938 N 76th St
Milwaukee, WI 53218
Phone (414) 406-4392

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1417571050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11413 N MEADOWBROOK DR",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530973136",
            "telephone_number": "414-406-4392",
            "fax_number": "414-488-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5938 N 76TH STREET",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53218",
            "telephone_number": "414-406-4392",
            "fax_number": "414-488-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAAK LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LAZANDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "414-406-4392",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAAK LIVING ADULT DAY CARE CENTER",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "KAAK LIVING SUPPORT HOME CARE AGENCY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.