OrganizationActive
Children Guidance Support Services LLC
NPI 1396505004 · Child Intellectual and/or Developmental Disabilities Respite Care · Kenosha, WI
Provider details
- NPI number
- 1396505004
- Entity type
- Organization
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Taanathshiloh Mays, Owner(262) 752-8334
Specialties & taxonomies
Respite Care Facility
- Home Health Agency251E00000X
Agencies
- Respite Care385H00000X
Respite Care Facility
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1710 60th St Uppr
Kenosha, WI 53140-3957
Phone: (262) 752-8334
Street-level locationGet directions
Mailing address
1710 60th St Uppr
Kenosha, WI 53140-3957
Registry dates
- Enumerated
- 2024-03-20
- Last updated
- 2026-05-05
- Certified
- 2026-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.