Organization Active NPI

Eulardell Adult Family Home LLC

  • Adult Care Home Facility
  • Brown Deer, WI
National Provider Identifier
1417890377
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
EULARDELL ADULT FAMILY HOME LLC
Practice address
5141 W Willow Rd
Brown Deer, WI 53223-3659
Phone
(708) 837-4308
Fax
(800) 887-0530
NPI assigned
Apr 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Lori A Watson
Title
Owner
Phone
(708) 837-4308

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Adult Care Home Facility 311ZA0620X Primary
Respite Care 385H00000X

Addresses

Primary practice location

5141 W Willow Rd
Brown Deer, WI 53223-3659

Mailing address

5141 W Willow Rd
Brown Deer, WI 53223-3659
Phone (708) 837-4308

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1417890377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 W WILLOW RD",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532233659",
            "telephone_number": "708-837-4308",
            "fax_number": "800-887-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5141 W WILLOW RD",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532233659",
            "telephone_number": "708-837-4308",
            "fax_number": "800-887-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EULARDELL ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-837-4308"
    },
    "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
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brown Deer, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.