Kaiser Adult Family Care, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

0014963 Issued in WI

Legal business name

KAISER ADULT FAMILY CARE, LLC

Practice address

W782 Leroy St
Edgar, WI 54426-9627

Phone

(715) 432-5060

NPI assigned

Apr 29, 2014

Last updated

Apr 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chris J Kaiser

Title

Administrator, Owner

Phone

(715) 301-3725

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1720498736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N 14TH ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544035688",
            "telephone_number": "715-301-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W782 LEROY ST",
            "city": "EDGAR",
            "state": "WI",
            "postal_code": "544269627",
            "telephone_number": "715-432-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER ADULT FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR, OWNER",
        "authorized_official_telephone_number": "715-301-3725"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "WI",
            "license": "0014963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davida Ann Berenz, RN
• Herbert N Bretl, DDS
• Edgar Volunteer Fire Dept
• Heidi L Haasl Vanornum
• Amy Jacobs, RN
• Katie Lynn Kaiser
• Thomas N Kazanecki, PT, DPT
• Breanna Grace Lindberg
• Marina C Maguire
• Amy Marie McKibben, RN

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Edgar, WI
• Providers in Edgar, WI by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.