Organization Active NPI

Pleasant and Peaceful Home LLC

  • Adult Care Home Facility
  • Brown Deer, WI
National Provider Identifier
1669284147
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
PLEASANT AND PEACEFUL HOME LLC
Practice address
8041 N 65TH St
Brown Deer, WI 53223-3408
Phone
(414) 627-3423
NPI assigned
Jan 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Earma JordanNPI 1225846710
Title
Owner
Phone
(414) 627-3423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

8041 N 65TH St
Brown Deer, WI 53223-3408

Mailing address

8041 N 65TH St
Brown Deer, WI 53223-3408
Phone (414) 627-3423

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": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1669284147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8041 N 65TH ST",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532233408",
            "telephone_number": "414-627-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8041 N 65TH ST",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532233408",
            "telephone_number": "414-627-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT AND PEACEFUL HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "EARMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-627-3423"
    },
    "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 Brown Deer, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.