Eternal Adult Family Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ETERNAL ADULT FAMILY HOME LLC

Practice address

N61W23963 Sumac LN
Sussex, WI 53089-3720

Phone

(262) 955-5664

NPI assigned

Jul 1, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Abokor Jama Abdi

Title

Owner

Phone

(262) 955-5664

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1780501650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N61W23963 SUMAC LN",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530893720",
            "telephone_number": "262-955-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N61W23963 SUMAC LN",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530893720",
            "telephone_number": "262-955-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAL ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "ABOKOR",
        "authorized_official_middle_name": "JAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-955-5664",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Sussex, WI
• Providers in Sussex, WI by specialty
• Assisted Living Facility in Wisconsin

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