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GENESIS ADULT FAMILY HOME LLC
NPI 1831974955
Intermediate Care Facility, Mental Illness in Mequon, WI

Active since August 28, 2023
3315 W BURGUNDY CT, MEQUON, WI 53092(262) 853-1344 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Genesis Adult Family Home Llc NPPES

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

GENESIS ADULT FAMILY HOME LLC (NPI 1831974955) is a healthcare organization registered as an intermediate care facility, mental illness in Mequon, Wisconsin and active in the NPI registry since August 2023. The organization lists Wanda Boone, Director, as its authorized official.

NPPES Registry Identity

NPI1831974955
Entity TypeOrganization
Primary Taxonomy310500000X
Legal Business NameGENESIS ADULT FAMILY HOME LLC
Location Address3315 W BURGUNDY CTMequon, WI 53092-5202
Mailing Address3315 W Burgundy CtMequon, WI 53092-5202 · (262) 853-1344
Phone(262) 853-1344
Organization SubpartNo
Authorized OfficialWanda BooneDirector · (262) 853-1344
Enumeration DateAugust 28, 2023
NPPES CertifiedAugust 28, 2023
✔ NPI 1831974955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code310500000X
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
Also ListedNursing CareTaxonomy 251J00000X
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
Also ListedSkilled Nursing Facility · Nursing Care, PediatricTaxonomy 3140N1450X
3315 W BURGUNDY CT, Mequon, WI 53092
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Other Providers at the Same Location NPPES

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

WANDA BOONE
Non-emergency Medical Transport (VAN)
3315 W BURGUNDY CT
MEQUON, WI 53092
Ozaukee County (262) 853-1344

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 Genesis Adult Family Home LLC's NPI number?

The NPI number for Genesis Adult Family Home LLC is 1831974955. It was assigned to this organization in the NPPES registry on August 28, 2023.

Where is Genesis Adult Family Home LLC located?

Genesis Adult Family Home LLC is located at 3315 W Burgundy Ct, Mequon, WI 53092. The listed phone number is (262) 853-1344.

What is Genesis Adult Family Home LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

When was this NPI record last updated?

The NPPES record for Genesis Adult Family Home LLC was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.