Easy Living Senior Home LLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

EASY LIVING SENIOR HOME LLC

Practice address

7219 W Medford Ave
Milwaukee, WI 53218-3833

Phone

(414) 393-1015

Fax

(414) 435-1620

NPI assigned

Apr 1, 2026

Organization subpart

No

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

Authorized official

Name

Ms. Carmen Martin, RN-BC

Title

President

Phone

(414) 702-5573

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1609717198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7414 W HAMPTON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184746",
            "telephone_number": "414-702-5573",
            "fax_number": "414-435-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7219 W MEDFORD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532183833",
            "telephone_number": "414-393-1015",
            "fax_number": "414-435-1620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2037 W Neil Pl",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532095025",
            "country_code": "US",
            "telephone_number": "414-236-5157",
            "fax_number": "414-435-1620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1904 N 59th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532081630",
            "country_code": "US",
            "telephone_number": "414-585-0369",
            "fax_number": "414-435-1620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EASY LIVING SENIOR HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-702-5573",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN-BC"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• PACE Provider Organization in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• PACE Provider Organization in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.