Kenosha Youth Development Services, Inc

LBN: Kenosha Human Development Services, Inc
Kenosha Youth Development Services, Inc is an health care organization with primary practice located at 3536 52Nd St , Kenosha WI 53144-2662. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Agencies / Case Management is the primary health care specialty. Kenosha Human Development Services, Inc can be contacted via phone (262) 842-0538, or through Field, Jeannine Marie via phone (262) 764-8555.

Contact Information

Primary practice address
3536 52Nd St Kenosha WI 53144-2662
Phone: (262) 842-0538
Fax: (262) 842-0539
Website:
Map and Directions
Authorized official contact:
Name: Field, Jeannine Marie
Phone: (262) 764-8555

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1942470661
LBN Legal business name Kenosha Human Development Services, Inc
DBA Doing business as Kenosha Youth Development Services, Inc
Authorized official Field, Jeannine Marie
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2008
Last updated Sep 6th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942470661 NPPES
Wisconsin MEDICAID 32975970

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