Priceless Time Adult Family Home, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

PRICELESS TIME ADULT FAMILY HOME, LLC

Practice address

1819 Blake Ave
Racine, WI 53404-2317

Phone

(262) 598-4562

Fax

(262) 995-7377

NPI assigned

Oct 30, 2024

Organization subpart

No

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

Authorized official

Name

Lucy Ledawn Burgess

Title

Ceo

Phone

(262) 598-4562

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1114749082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85157",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534085157",
            "telephone_number": "262-598-4562",
            "fax_number": "262-995-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 BLAKE AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534042317",
            "telephone_number": "262-598-4562",
            "fax_number": "262-995-7377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 Virginia St",
            "address_purpose": "LOCATION",
            "city": "Racine",
            "state": "WI",
            "postal_code": "534052745",
            "country_code": "US",
            "telephone_number": "262-598-4562",
            "fax_number": "262-995-7377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5509 58th Ave",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531442216",
            "country_code": "US",
            "telephone_number": "262-598-4562",
            "fax_number": "262-995-7377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3315 Kentucky St",
            "address_purpose": "LOCATION",
            "city": "Racine",
            "state": "WI",
            "postal_code": "534054619",
            "country_code": "US",
            "telephone_number": "262-598-4562",
            "fax_number": "262-995-7377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRICELESS TIME ADULT FAMILY HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "LEDAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "262-598-4562"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Racine, WI
• Providers in Racine, WI by specialty
• Adult Care Home Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.