SOMERS KENOSHA SENIOR LIVING, INC.
NPI 1134653843
Assisted Living Facility in Kenosha, WI
NPI Status: Active since April 19, 2017
Contact Information
3109 12TH ST
KENOSHA, WI
ZIP 53144
Phone: (262) 553-1270
Fax: (262) 553-1470
NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: July 12, 2026.
Record update history: Jun 11, 2025, Jan 22, 2020, Apr 19, 2017 (3 updates tracked since 2017).
- Organization
- Assisted Living Facility
About SOMERS KENOSHA SENIOR LIVING, INC.
This page provides the complete NPI Profile along with additional information for Somers Kenosha Senior Living, Inc., a provider established in Kenosha, Wisconsin operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1134653843 assigned on April 2017. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Amber L Tueller (Secretary)
- NPI
- 1134653843
- Provider Name
- SOMERS KENOSHA SENIOR LIVING, INC.
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 3109 12TH ST KENOSHA, WI 53144
- Location Phone
- (262) 553-1270
- Location Fax
- (262) 553-1470
- Mailing Address
- 3109 12TH ST KENOSHA, WI 53144
- Mailing Phone
- (262) 553-1270
- Mailing Fax
- (262) 553-1470
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-19-2017
- Last Update Date
- 06-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License State
- WI
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1134653843, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134653843, enumerated as an "organization" on April 19, 2017.
The provider is located at 3109 12TH ST KENOSHA, WI 53144 and the phone number is (262) 553-1270.
Assisted Living Facility with taxonomy code 310400000X.
