Organization Active NPI

Sunrise Haven Adult Family Home LLC

  • Adult Care Home Facility
  • Milwaukee, WI
National Provider Identifier
1659295202
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SUNRISE HAVEN ADULT FAMILY HOME LLC
Practice address
4475 N 40TH St
Milwaukee, WI 53209-5805
Phone
(414) 839-1183
NPI assigned
Aug 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Nivia Davis-Frechette
Title
Owner
Phone
(414) 578-0871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

4475 N 40TH St
Milwaukee, WI 53209-5805

Mailing address

4475 N 40TH St
Milwaukee, WI 53209-5805

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1659295202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 N 40TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 N 40TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095805",
            "telephone_number": "414-839-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE HAVEN ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS-FRECHETTE",
        "authorized_official_first_name": "NIVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-578-0871"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "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 Aug 6, 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.