Active NPI
Eulardell Adult Family Home LLC
- Adult Care Home Facility
- Brown Deer, WI
National Provider Identifier
1417890377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.