Heritage on Hampton Assisted Living Facility LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HERITAGE ON HAMPTON ASSISTED LIVING FACILITY LLC

Practice address

4615 W Hampton Ave
Milwaukee, WI 53218-5236

Phone

(414) 803-7493

Fax

(262) 364-2048

NPI assigned

Jun 7, 2025

Organization subpart

No

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

Authorized official

Name

Mario Kimbrough

Title

Member

Phone

(414) 803-7493

Specialties & licenses 1

Addresses

Other names 1

• Heritage on Hampton Assisted Living Facility LLC Doing business as

Locations

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

{
    "created_epoch": "1749254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749254400000",
    "number": "1073407599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11118 W MEINECKE AVE APT 6",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261248",
            "telephone_number": "414-803-7493",
            "fax_number": "262-364-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 W HAMPTON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532185236",
            "telephone_number": "414-803-7493",
            "fax_number": "262-364-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE ON HAMPTON ASSISTED LIVING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-07",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A",
        "authorized_official_last_name": "KIMBROUGH",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "414-803-7493"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage on Hampton Assisted Living Facility LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Heritage Housing LLC
• Heritage Staffing Consultants
• Monica Ann Herlevi, RN
• Kimberly Herman, MSW
• Carol Hermann, R.PH.
• Lynn M Hermanns, NP

• Assisted Living Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.