Active NPI
Agape Generational Living Facility LLC
- Adult Care Home Facility
- Brown Deer, WI
National Provider Identifier
1720992332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- AGAPE GENERATIONAL LIVING FACILITY LLC
- Practice address
- 4798 W Willow Rd
Brown Deer, WI 53223-3652 - Phone
- (414) 236-5021
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenelle M Ward, APRN
- Title
- Administrator/Nurse Practitioner
- Phone
- (262) 454-2117
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | NU | Primary | |
| Respite Care | 385H00000X | NU |
Addresses
Primary practice location
4798 W Willow Rd
Brown Deer, WI 53223-3652
Mailing address
4798 W Willow Rd
Brown Deer, WI 53223-3652
Phone (414) 236-5021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1720992332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4798 W WILLOW RD",
"city": "BROWN DEER",
"state": "WI",
"postal_code": "532233652",
"telephone_number": "414-236-5021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4798 W WILLOW RD",
"city": "BROWN DEER",
"state": "WI",
"postal_code": "532233652",
"telephone_number": "414-236-5021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAPE GENERATIONAL LIVING FACILITY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "JENELLE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR/NURSE PRACTITIONER",
"authorized_official_telephone_number": "262-454-2117",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": false
}
],
"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 Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.