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RUSTIC MANOR HOMES, LLC
NPI 1205628062
Home Health in South Milwaukee, WI

Active since May 19, 2025
2904 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172(262) 353-1910(262) 353-1910 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rustic Manor Homes, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSTIC MANOR HOMES, LLC (NPI 1205628062) is a healthcare organization registered as a home health in South Milwaukee, Wisconsin and active in the NPI registry since May 2025. The organization lists Cynthia Simpson, Director, as its authorized official.

NPPES Registry Identity

NPI1205628062
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameRUSTIC MANOR HOMES, LLC
Location Address2904 S CHICAGO AVESouth Milwaukee, WI 53172-3134
Mailing Address3383 E Layton AveCudahy, WI 53110-1437 · (414) 485-7088 · Fax (414) 485-7088
Phone(262) 353-1910
Fax(262) 353-1910
Organization SubpartNo
Authorized OfficialCynthia SimpsonDirector · (262) 353-1910
Enumeration DateMay 19, 2025
NPPES CertifiedMay 19, 2025
✔ NPI 1205628062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
2904 S CHICAGO AVE, South Milwaukee, WI 53172
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Other Names 1

Doing Business AsRustic Manor Homes, Llc

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDER NASH
Driver
2904 S CHICAGO AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 241-9874

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rustic Manor Homes, LLC's NPI number?

The NPI number for Rustic Manor Homes, LLC is 1205628062. It was assigned to this organization in the NPPES registry on May 19, 2025.

Where is Rustic Manor Homes, LLC located?

Rustic Manor Homes, LLC is located at 2904 S Chicago Ave, South Milwaukee, WI 53172. The listed phone number is (262) 353-1910.

What is Rustic Manor Homes, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Rustic Manor Homes, LLC was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.