OrganizationActive
Love and Heart Adult Family Home
NPI 1629911003 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Milwaukee, WI
Provider details
- NPI number
- 1629911003
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Melissa Willock, Ceo(414) 737-3081
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
3500 N Sherman Blvd
Milwaukee, WI 53216-3463
Phone: (414) 737-3081
Fax: (414) 231-3135
Approximate (ZIP-level) locationGet directions
Mailing address
3500 N Sherman Blvd
Milwaukee, WI 53216-3463
Registry dates
- Enumerated
- 2026-04-10
- Last updated
- 2026-04-10
- Certified
- 2026-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.