Organization Active NPI

Harmony Haven Adult Family Homes LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • West Bend, WI
National Provider Identifier
1063308450
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
HARMONY HAVEN ADULT FAMILY HOMES LLC
Practice address
529 N 10TH Ave
West Bend, WI 53090-2407
Phone
(414) 975-2863
NPI assigned
Jun 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cecile Gambrell
Title
Owner
Phone
(920) 791-0134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

529 N 10TH Ave
West Bend, WI 53090-2407

Mailing address

PO Box 653
Oak Creek, WI 53154-0653
Phone (414) 975-2863

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1063308450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 653",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531540653",
            "telephone_number": "414-975-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 N 10TH AVE",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530902407",
            "telephone_number": "414-975-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY HAVEN ADULT FAMILY HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "GAMBRELL",
        "authorized_official_first_name": "CECILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-791-0134"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.