NPIMap

Organization Active NPI

Beyond Infinity Adult Family Home, LLC

Doing business as N/a

  • Assisted Living Facility
  • Milwaukee, WI
National Provider Identifier
1902695596
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BEYOND INFINITY ADULT FAMILY HOME, LLC
Doing business as
N/a
Practice address
3803 N 23Rd St
Milwaukee, WI 53206-1915
Phone
(414) 469-9108
Fax
(414) 210-3149
NPI assigned
May 1, 2025
Last updated
May 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Mrs. Gentella Denise WearyNPI 1629874144
Title
Manager/Owner
Phone
(414) 469-9108

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X

Addresses

Primary practice location

3803 N 23Rd St
Milwaukee, WI 53206-1915

Mailing address

4431 N 57TH St
Milwaukee, WI 53218-5609
Phone (414) 469-9108

Other practice location 1

2559 N 49th St
Milwaukee, WI 53210-2848
Phone (414) 469-9108

Other names 1

  • N/A Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beyond Infinity Adult Family Home LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1902695596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4431 N 57TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532185609",
            "telephone_number": "414-469-9108",
            "fax_number": "414-210-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 N 23RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532061915",
            "telephone_number": "414-469-9108",
            "fax_number": "414-210-3149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2559 N 49th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532102848",
            "country_code": "US",
            "telephone_number": "414-469-9108",
            "fax_number": "414-210-3149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEYOND INFINITY ADULT FAMILY HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "WEARY",
        "authorized_official_first_name": "GENTELLA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "414-469-9108",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 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.