1 HEAVENLY DIVINE ADULT FAMILY HOMES LLC
NPI 1952051211
Custodial Care Facility - Adult Care Home in Milwaukee, WI

NPI Status: Active since March 28, 2022

Contact Information

4637 N 24TH PL
MILWAUKEE, WI
ZIP 53209
Phone: (414) 350-3558
Fax: (414) 979-0092

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  • Organization
  • Custodial Care Facility
  • Adult Care Home

About 1 HEAVENLY DIVINE ADULT FAMILY HOMES LLC

This page provides the complete NPI Profile along with additional information for 1 Heavenly Divine Adult Family Homes Llc, a provider established in Milwaukee, Wisconsin operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1952051211 assigned on March 2022. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated July 2025. The provider's . The authorized official of this NPI record is Kathy Jones (Owner)

NPI
1952051211
Provider Legal Name
1 HEAVENLY DIVINE ADULT FAMILY HOMES LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
4637 N 24TH PL MILWAUKEE, WI 53209
Location Phone
(414) 350-3558
Location Fax
(414) 979-0092
Mailing Address
PO BOX 16545 MILWAUKEE, WI 53216
Mailing Phone
(414) 350-3558
Mailing Fax
(414) 979-0092
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-28-2022
Last Update Date
07-10-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1310400000XNursing & Custodial Care Facilities

Assisted Living Facility

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHY JONES

Authorized Official Title
OWNER
Authorized Official Phone
(414) 350-3558

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1952051211
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2910205222
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 0 + 5 + 2 + 2 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1952051211 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952051211, enumerated as an "organization" on March 28, 2022.

The provider is located at 4637 N 24TH PL MILWAUKEE, WI 53209 and the phone number is (414) 350-3558.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.