KLS COMMUNITY OUTREACH TEEN CENTER CONSULTING AND MANAGEMENT L.L.C. (NPI# 1962891994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962891994 |
| Entity Type | Organization |
| Organization Name | KLS COMMUNITY OUTREACH TEEN CENTER CONSULTING AND MANAGEMENT L.L.C. |
| Other Organization Name | KLS COMMUNITY RESOURCES |
| Practice Address |
8330 North Teutonia Ave Suite 103 Brown Deer WI 53209 |
| Practice Telephone | 4142365278 |
| Practice Fax Number | 4143683051 |
| Mailing Telephone | 4142365278 |
| Mailing Fax Number | 4143683051 |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |
| Authorized Official Name | MRS. KENYA LATRICE SMITH (CEO) |
| Authorized Official Telephone | 4142365278 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| Other Name | Type Code |
|---|---|
| KLS COMMUNITY RESOURCES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Street Address |
8330 NORTH TEUTONIA AVE SUITE 103 |
| City | BROWN DEER |
| State | WI |
| Zip Code | 53209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| 1518361575 | Constance Leachelle Beard | Licensed Practical Nurse | 5337 N. 34th Street, Milwaukee, WI 53209 | 2014-10-20 |
| Find all providers in zip 53209 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205471281 | Companion Day Service | Voluntary or Charitable | 905 Tiny Tigers Ct, Marshfield, WI 54449-3069 | 2019-11-13 |
| 1629636873 | Autism Society of Greater Wisconsin | Voluntary or Charitable | 1477 Kenwood Dr Ste 100, Menasha, WI 54952-1160 | 2019-06-03 |
| 1548826159 | Center for Childhood Safety | Voluntary or Charitable | 842 S Military Ave, Green Bay, WI 54304-2114 | 2019-05-20 |
| 1366005019 | Tim Halbrook Builders, Inc | Voluntary or Charitable | 3681 Monroe Rd, De Pere, WI 54115-8355 | 2019-04-18 |
| 1073072542 | Baraboo River Equine-assisted Therapies Inc. | Voluntary or Charitable | E12311 County Rd W, Baraboo, WI 53913-9668 | 2019-03-14 |
| 1225504335 | Autism Society of South Central Wisconsin | Voluntary or Charitable | 437 S Yellowstone Dr Ste 217a, Madison, WI 53719-1061 | 2018-10-16 |
| 1346742764 | Superior Douglas County Family Ymca | Voluntary or Charitable | 9 N 21st St, Superior, WI 54880-5201 | 2018-03-01 |
| 1295253722 | Allied Horsemanship, Inc | Voluntary or Charitable | 35954 Cypress Ln, Prairie Du Chien, WI 53821-8831 | 2017-09-05 |
| 1508391079 | Lake Area Free Clinic | Voluntary or Charitable | 856 B Armour Road, Oconomowoc, WI 50366 | 2017-04-21 |
| 1093248569 | Association for The Rights of Citizens With Handicaps | Voluntary or Charitable | 419 Frederick St, Waukesha, WI 53186-5605 | 2017-04-11 |
| Find all providers with the same taxonomy | ||||
| City | BROWN DEER |
| Zip Code | 53209 |
Please comment or provide details below to improve the information on KLS COMMUNITY OUTREACH TEEN CENTER CONSULTING AND MANAGEMENT L.L.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.