Kenosha Senior Living, Inc.
NPI 1790169944 · Assisted Living Facility · Kenosha, WI
Kenosha Senior Living, Inc. is a Assisted Living Facility organization in Kenosha, WI (NPI 1790169944).
Provider details
- NPI number
- 1790169944
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Amber Tueller, Secretary(208) 207-2726
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Other names (DBA / former)
- Doing business as
- Kenosha Senior Living
- Doing business as
- Kenosha Senior Living
Registry dates
- Enumerated
- 2015-07-17
- Last updated
- 2025-06-11
- Certified
- 2025-06-11
Frequently asked questions
- What is Kenosha Senior Living, Inc.'s NPI number?
- Kenosha Senior Living, Inc.'s National Provider Identifier (NPI) is 1790169944, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenosha Senior Living, Inc.?
- Kenosha Senior Living, Inc. is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Kenosha Senior Living, Inc. located?
- Kenosha Senior Living, Inc.'s practice location on file with NPPES is 3109 30th Ave, Kenosha, WI 53144-1673.
- What is Kenosha Senior Living, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Kenosha Senior Living, Inc. is (262) 656-1795.
- Who is the authorized official for Kenosha Senior Living, Inc.?
- The authorized official listed on Kenosha Senior Living, Inc.'s NPPES record is Amber Tueller, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenosha Senior Living, Inc.'s NPI active?
- Yes — Kenosha Senior Living, Inc.'s NPI (1790169944) is active in the NPPES registry as of the last update on 2025-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.