Rustic Manor Homes, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RUSTIC MANOR HOMES, LLC

Doing business as

Rustic Manor Homes, LLC

Practice address

2904 S Chicago Ave
South Milwaukee, WI 53172-3134

Phone

(262) 353-1910

Fax

(262) 353-1910

NPI assigned

May 19, 2025

Organization subpart

No

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

Authorized official

Name

Cynthia Simpson

Title

Director

Phone

(262) 353-1910

Specialties & licenses 1

Addresses

Other names 1

• Rustic Manor Homes, LLC Doing business as

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1205628062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3383 E LAYTON AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531101437",
            "telephone_number": "414-485-7088",
            "fax_number": "414-485-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 S CHICAGO AVE",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531723134",
            "telephone_number": "262-353-1910",
            "fax_number": "262-353-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSTIC MANOR HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "262-353-1910"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rustic Manor Homes, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carlisha Robinson
• Lois Ann Rose, RN
• Kasidy Jean Roszina
• Royal Medical LLC
• Alyssa Cathryn Laroi Russo
• Danielle Saam, MOT, OTR/L
• Maggie Jane Sabel, DPT
• Nicholas James Sabel, DDS
• Ashley Schauer
• Annette Michelle Schell, DPT

• Home Health Agency in South Milwaukee, WI
• Providers in South Milwaukee, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.