Organization · Type 2 NPI
TP KCB Harbour Village Opco, LLC
Assisted Living Facility · Greendale, WI
NPI number
1154299386
Active
Practice location
5900 Mockingbird Ln
Greendale, WI 53129-1459
Mailing address
2265 E Murray Holladay Rd
Holladay, UT 84117-5379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
| Alzheimer Center (Dementia Center) | 311500000X | None listed |
Assisted Living Facility: 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.
2 other providers at this address
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About NPI 1154299386
TP KCB Harbour Village Opco, LLC's National Provider Identifier is 1154299386, issued on Oct 28, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Greendale, WI. The record was last updated on Oct 28, 2025.