1. Home
  2. Directory
  3. Wisconsin
  4. Kenosha
  5. Custodial Care Facility
  6. NPI Profile

JENNY PETERSEN
NPI 1689462327
Custodial Care Facility - Adult Care Home in Kenosha, WI

Active since April 30, 2025
1628 34TH CT, KENOSHA, WI 53144(262) 308-5857 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jenny Petersen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNY PETERSEN (NPI 1689462327) is an individual adult care home provider in Kenosha, Wisconsin and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1689462327
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameJENNY PETERSEN
Location Address1628 34TH CTKenosha, WI 53144-3368
Mailing Address1628 34th CtKenosha, WI 53144-3368 · (262) 308-5857
Phone(262) 308-5857
Sole ProprietorYes
Enumeration DateApril 30, 2025
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1689462327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Also ListedHome Health AideTaxonomy 374U00000X
1628 34TH CT, Kenosha, WI 53144
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenny Petersen's NPI number?

The NPI number for Jenny Petersen is 1689462327. It was assigned to this individual provider in the NPPES registry on April 30, 2025.

Where is Jenny Petersen located?

Jenny Petersen practices at 1628 34th Ct, Kenosha, WI 53144. The listed phone number is (262) 308-5857.

What is Jenny Petersen's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Jenny Petersen was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.