Organization Active NPI

Gentle Hearts and Loud Love Adult Family Home LLC

  • Adult Care Home Facility
  • West Bend, WI
National Provider Identifier
1962232553
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
GENTLE HEARTS AND LOUD LOVE ADULT FAMILY HOME LLC
Practice address
6845 Linda Dr
West Bend, WI 53090-8935
Phone
(414) 690-2461
NPI assigned
Aug 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Keaira Stephenson
Title
Ceo/Owner
Phone
(414) 690-2461

Specialties & licenses 1

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

Addresses

Primary practice location

6845 Linda Dr
West Bend, WI 53090-8935

Mailing address

6845 Linda Dr
West Bend, WI 53090-8935
Phone (414) 690-2461

Other names 1

  • Gentle Hearts And Loud Love Adult Family Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1962232553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 LINDA DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530908935",
            "telephone_number": "414-690-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 LINDA DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530908935",
            "telephone_number": "414-690-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE HEARTS AND LOUD LOVE ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "KEAIRA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "414-690-2461"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Hearts And Loud Love Adult Family Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.