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HUMBLE LIVING ADULT FAMILY GROUP HOME LLC
NPI 1477285484
Assisted Living Facility in West Bend, WI

Active since June 28, 2022
1124 W WASHINGTON ST, WEST BEND, WI 53095(262) 239-1138 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Humble Living Adult Family Group Home Llc NPPES

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

HUMBLE LIVING ADULT FAMILY GROUP HOME LLC (NPI 1477285484) is a healthcare organization registered as an assisted living facility in West Bend, Wisconsin and active in the NPI registry since June 2022. The organization lists Vershaunda Campbell, Owner, as its authorized official.

NPPES Registry Identity

NPI1477285484
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHUMBLE LIVING ADULT FAMILY GROUP HOME LLC
Location Address1124 W WASHINGTON STWest Bend, WI 53095-2434
Mailing Address1124 W Washington StWest Bend, WI 53095-2434 · (262) 239-1138
Phone(262) 239-1138
Organization SubpartNo
Authorized OfficialVershaunda CampbellOwner · (262) 239-1138
Enumeration DateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1477285484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1124 W WASHINGTON ST, West Bend, WI 53095
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Other Names 1

Doing Business AsHumble Living Adult Family Group Home 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.

VERSHAUNDA CAMPBELL
Technician (Attendant Care Provider)
1124 W WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 239-1138

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 Humble Living Adult Family Group Home LLC's NPI number?

The NPI number for Humble Living Adult Family Group Home LLC is 1477285484. It was assigned to this organization in the NPPES registry on June 28, 2022.

Where is Humble Living Adult Family Group Home LLC located?

Humble Living Adult Family Group Home LLC is located at 1124 W Washington St, West Bend, WI 53095. The listed phone number is (262) 239-1138.

What is Humble Living Adult Family Group Home LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Humble Living Adult Family Group Home LLC was last updated on June 28, 2022. 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.