Organization Active NPI

Life Adult Family Home LLC

Doing business as Life Adult Family Home

  • In Home Supportive Care Agency
  • Milwaukee, WI
National Provider Identifier
1164309191
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIFE ADULT FAMILY HOME LLC
Doing business as
Life Adult Family Home
Practice address
4958 N 37TH St
Milwaukee, WI 53209-5307
Phone
(414) 699-5422
NPI assigned
Aug 20, 2025
Last updated
Aug 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Debra Morgan
Title
Diretor
Phone
(414) 699-5422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

4958 N 37TH St
Milwaukee, WI 53209-5307

Mailing address

4958 N 37TH St
Milwaukee, WI 53209-5307
Phone (414) 699-5422

Other practice location 1

4876 N 89th St
Milwaukee, WI 53225-4106
Phone (414) 699-5422

Other names 1

  • Life Adult Family Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1164309191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4958 N 37TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095307",
            "telephone_number": "414-699-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4958 N 37TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095307",
            "telephone_number": "414-699-5422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4876 N 89th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532254106",
            "country_code": "US",
            "telephone_number": "414-699-5422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "DIRETOR",
        "authorized_official_telephone_number": "414-699-5422"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Adult Family Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Adult Family Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.