OrganizationActive
Heritage on Hampton Assisted Living Facility LLC
NPI 1073407599 · Assisted Living Facility · Milwaukee, WI
Provider details
- NPI number
- 1073407599
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mario Kimbrough, Member(414) 803-7493
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4615 W Hampton Ave
Milwaukee, WI 53218-5236
Phone: (414) 803-7493
Fax: (262) 364-2048
Street-level locationGet directions
Mailing address
11118 W Meinecke Ave Apt 6
Wauwatosa, WI 53226-1248
Other names (DBA / former)
- Doing business as
- Heritage on Hampton Assisted Living Facility LLC
Registry dates
- Enumerated
- 2025-06-07
- Last updated
- 2025-06-07
- Certified
- 2025-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.