Organization Active NPI

Kings Academy

  • Assisted Living Facility
  • Milwaukee, WI
National Provider Identifier
1770091431
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
0016450 Issued in WI
Legal business name
KINGS ACADEMY
Practice address
1350 W Reservoir Ave
Milwaukee, WI 53205-1737
Phone
(414) 585-9374
Fax
(414) 585-0398
NPI assigned
Jan 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Shirley Ann King
Title
Owner
Phone
(414) 248-2112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 0016450 WI Primary

Addresses

Primary practice location

1350 W Reservoir Ave
Milwaukee, WI 53205-1737

Mailing address

1350 W Reservoir Ave
Milwaukee, WI 53205-1737
Phone (414) 585-9374

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1770091431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 W RESERVOIR AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532051737",
            "telephone_number": "414-585-9374",
            "fax_number": "414-585-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W RESERVOIR AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532051737",
            "telephone_number": "414-585-9374",
            "fax_number": "414-585-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-248-2112"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "0016450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 23, 2025; 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.