Divine Grace Adult Family Home LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

DIVINE GRACE ADULT FAMILY HOME LLC

Practice address

7727 W Glendale Ave
Milwaukee, WI 53218-5331

Phone

(414) 274-9935

NPI assigned

Mar 2, 2026

Organization subpart

No

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

Authorized official

Name

Maurice Jackson Sr

Title

Owner

Phone

(414) 379-3001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1235084740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7727 W GLENDALE AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532185331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7727 W GLENDALE AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532185331",
            "telephone_number": "414-274-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE GRACE ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-01",
        "status": "A",
        "authorized_official_last_name": "JACKSON SR",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-379-3001"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diversity Home Health
• Diversity Home Health Services
• Divine Care Nursing Services LLC
• Divine Care Services LLC
• Divine Exxpectations
• Divine Healing Home Care Solutions, LLC
• Divine Interventions LLC
• Divine Living Afh LLC
• Divine Love Adult Day Care Center, LLC
• Divine Prenatal Servives

• Alzheimer Center (Dementia Center) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Alzheimer Center (Dementia Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.