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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

RANDOLPH RESIDE LLC
NPI 1508765553
Custodial Care Facility - Adult Care Home in Waukesha, WI

Active since November 04, 2026
1435 CLEVELAND AVE, WAUKESHA, WI 53186(414) 795-3160 Get Directions Write a Review

NPPES record added: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Randolph Reside Llc NPPES

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

RANDOLPH RESIDE LLC (NPI 1508765553) is a healthcare organization registered as an adult care home in Waukesha, Wisconsin and active in the NPI registry since November 2026. The organization lists Diven Randolph, Owner, as its authorized official.

NPPES Registry Identity

NPI1508765553
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameRANDOLPH RESIDE LLC
Location Address1435 CLEVELAND AVEWaukesha, WI 53186-3876
Mailing Address1435 Cleveland AveWaukesha, WI 53186-3876 · (414) 795-3160
Phone(414) 795-3160
Organization SubpartNo
Authorized OfficialDiven RandolphOwner · (414) 795-3160
Enumeration DateNovember 4, 2026
NPPES CertifiedNovember 4, 2026
✔ NPI 1508765553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
1435 CLEVELAND AVE, Waukesha, WI 53186
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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 Randolph Reside LLC's NPI number?

The NPI number for Randolph Reside LLC is 1508765553. It was assigned to this organization in the NPPES registry on November 4, 2026.

Where is Randolph Reside LLC located?

Randolph Reside LLC is located at 1435 Cleveland Ave, Waukesha, WI 53186. The listed phone number is (414) 795-3160.

What is Randolph Reside LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Randolph Reside LLC was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.