Timeless Manor LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

TIMELESS MANOR LLC

Practice address

3304 Indiana St
Mt Pleasant, WI 53405-4616

Phone

(414) 239-3274

NPI assigned

Aug 1, 2025

Last updated

Aug 1, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jaymia/ Temeko Putzear/ Knowlws

Title

Ownwer

Phone

(414) 239-3274

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1700760006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 INDIANA ST",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534054616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 INDIANA ST",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534054616",
            "telephone_number": "414-239-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMELESS MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "PUTZEAR/ KNOWLWS",
        "authorized_official_first_name": "JAYMIA/ TEMEKO",
        "authorized_official_title_or_position": "OWNWER",
        "authorized_official_telephone_number": "414-239-3274"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Adult Care Home Facility in Wisconsin

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