Jackie'S House of Love, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

JACKIE'S HOUSE OF LOVE, LLC

Practice address

5078 N 60TH St
Milwaukee, WI 53218-4101

Phone

(414) 491-5891

NPI assigned

Jul 10, 2023

Organization subpart

No

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

Authorized official

Name

Shaniece Robinson

Title

Owner

Phone

(414) 491-5891

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711238400000",
    "number": "1235817198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5078 N 60TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5078 N 60TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184101",
            "telephone_number": "414-491-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE'S HOUSE OF LOVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "SHANIECE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-491-5891"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Jablonski, M.D.
• Jaci Family Solutions LLC
• Grace Jacinto Diaz, LPC, ATR
• Jack L Hughes MD SC
• Charrise Katrina Jack
• Carina M Jackman, M.D.
• Eric Jackowiak, MD
• Jackson Care LLC
• Jackson House LLC
• Jackson Independent Living, LLC.

• Adult Care Home Facility in Milwaukee, WI
• Providers in Milwaukee, 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 Mar 24, 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.