Organization Active NPI

Kind Kare Residential Living

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • West Bend, WI
National Provider Identifier
1700705639
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
KIND KARE RESIDENTIAL LIVING
Practice address
1869 Wallace Lake Rd
West Bend, WI 53090-9074
Phone
(980) 382-0379
NPI assigned
Jul 14, 2026
Last updated
Jul 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Kuriyuna Robinson
Title
Owner
Phone
(980) 382-0379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

1869 Wallace Lake Rd
West Bend, WI 53090-9074

Mailing address

1869 Wallace Lake Rd
West Bend, WI 53090-9074

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1700705639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 WALLACE LAKE RD",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530909074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 WALLACE LAKE RD",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530909074",
            "telephone_number": "980-382-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND KARE RESIDENTIAL LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "KURIYUNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-382-0379"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.