Organization Active NPI

Friends of Family Adult Home, LLC

  • Home Health Agency
  • Milwaukee, WI
National Provider Identifier
1174103162
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FRIENDS OF FAMILY ADULT HOME, LLC
Practice address
5486 N 75TH St
Milwaukee, WI 53218-2712
Phone
(414) 639-2281
Fax
(414) 800-6855
NPI assigned
Apr 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Pwana Marie Randall
Title
Manager/Owner
Phone
(414) 639-2281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5486 N 75TH St
Milwaukee, WI 53218-2712

Mailing address

5322 N 73Rd St
Milwaukee, WI 53218-2823
Phone (414) 639-2281

Other practice location 1

5322 N 73rd St
Milwaukee, WI 53218-2823
Phone (414) 639-2281

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1174103162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 N 73RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532182823",
            "telephone_number": "414-639-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5486 N 75TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532182712",
            "telephone_number": "414-639-2281",
            "fax_number": "414-800-6855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5322 N 73rd St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532182823",
            "country_code": "US",
            "telephone_number": "414-639-2281",
            "fax_number": "414-800-6855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRIENDS OF FAMILY ADULT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "PWANA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "414-639-2281"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 15, 2021; 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.