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CC' ADULT FAMILY HOME
NPI 1275293375
Assisted Living Facility - Assisted Living, Mental Illness in Milwaukee, WI

Active since December 30, 2021
4557 N 30TH ST, MILWAUKEE, WI 53209(414) 639-7107 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cc' Adult Family Home NPPES

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

CC' ADULT FAMILY HOME (NPI 1275293375) is a healthcare organization registered as an assisted living, mental illness in Milwaukee, Wisconsin and active in the NPI registry since December 2021. The organization lists Condesa Delmar Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1275293375
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameCC' ADULT FAMILY HOME
Location Address4557 N 30TH STMilwaukee, WI 53209-6049
Mailing Address4557 N 30th StMilwaukee, WI 53209-6049 · (414) 639-7107
Phone(414) 639-7107
Organization SubpartNo
Authorized OfficialCondesa Delmar ClarkOwner · (262) 505-4531
Enumeration DateDecember 30, 2021
NPPES CertifiedDecember 30, 2021
✔ NPI 1275293375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
4557 N 30TH ST, Milwaukee, WI 53209
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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 Cc' Adult Family Home's NPI number?

The NPI number for Cc' Adult Family Home is 1275293375. It was assigned to this organization in the NPPES registry on December 30, 2021.

Where is Cc' Adult Family Home located?

Cc' Adult Family Home is located at 4557 N 30th St, Milwaukee, WI 53209. The listed phone number is (414) 639-7107.

What is Cc' Adult Family Home's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Cc' Adult Family Home was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.