Organization Active NPI

Simple Hearts Companion Care Homes LLC

  • Adult Care Home Facility
  • Milwaukee, WI
National Provider Identifier
1881492445
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SIMPLE HEARTS COMPANION CARE HOMES LLC
Practice address
3337 N 76TH St
Milwaukee, WI 53222-3905
Phone
(414) 629-7061
Fax
(414) 629-7061
NPI assigned
Mar 7, 2025
Last updated
Mar 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Tisha Anderson
Title
Owner
Phone
(414) 629-7061

Specialties & licenses 1

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

Addresses

Primary practice location

3337 N 76TH St
Milwaukee, WI 53222-3905

Mailing address

18541 N Larkspur Dr
Maricopa, AZ 85138-4125
Phone (414) 629-7061

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1881492445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18541 N LARKSPUR DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851384125",
            "telephone_number": "414-629-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3337 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532223905",
            "telephone_number": "414-629-7061",
            "fax_number": "414-629-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE HEARTS COMPANION CARE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-629-7061"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "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 Mar 7, 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.