OrganizationActive
Midwest Family Support Services
NPI 1811758402 · Child Intellectual and/or Developmental Disabilities Respite Care · Kenosha, WI
Provider details
- NPI number
- 1811758402
- Entity type
- Organization
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Alshiloh Johnson, Owner(773) 990-9833
Specialties & taxonomies
Respite Care Facility
- Nursing Care Agency251J00000X
Agencies
- Child Physical Disabilities Respite Care385HR2065X
Respite Care Facility
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
Practice location
1717 24th St
Kenosha, WI 53140-1847
Phone: (773) 990-9833
Approximate (ZIP-level) locationGet directions
Mailing address
1717 24th St
Kenosha, WI 53140-1847
Registry dates
- Enumerated
- 2024-01-19
- 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.