Organization · NPI-2

Genuine Loving Care Adult Family Home LLC

Assisted Living Facility · Racine, WI

NPI number1114896099
StatusActive
Last updated in NPPESOct 30, 2025

Details

NPI
1114896099
Entity type
Organization (NPI-2)
Legal business name
Genuine Loving Care Adult Family Home LLC
Organization subpart
No
Enumeration date
Oct 30, 2025
Certification date
Oct 30, 2025
Last updated
Oct 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes
253Z00000X In Home Supportive Care––

Practice location

827 3 Mile Rd
Racine, WI 53402-2901

Phone 863-308-1318

Mailing address

7221 W Wabash Ave
Milwaukee, WI 53223-2608

Phone 262-402-8615

Authorized official

Tyra Hoard
Owner
8633081318

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