Organization Active NPI

Ageless Living, LLC

  • Adult Care Home Facility
  • Milwaukee, WI
National Provider Identifier
1447154372
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
AGELESS LIVING, LLC
Practice address
4613 N 75TH St
Milwaukee, WI 53218-4719
Phone
(414) 381-2927
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Nequilia Earnest
Title
Ceo/President
Phone
(414) 381-2937

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

4613 N 75TH St
Milwaukee, WI 53218-4719

Mailing address

23144 Cinco Ranch Blvd Ste B1143
Katy, TX 77494-2894
Phone (414) 381-2937

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1447154372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23144 CINCO RANCH BLVD STE B1143",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942894",
            "telephone_number": "414-381-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 N 75TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184719",
            "telephone_number": "414-381-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGELESS LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "EARNEST",
        "authorized_official_first_name": "NEQUILIA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "414-381-2937"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.