Directory of Community-Based Residential Facilities … · For Community-Based Residential...
Transcript of Directory of Community-Based Residential Facilities … · For Community-Based Residential...
Division of Quality AssuranceWisconsin Department of Health Services Page 1
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
8820 N REXLEIGH DRBAYSIDE WI 53217(414) 351-1464 MICHAEL YELINCounty: MILWAUKEE
ZVIA SHAER RN & IZHAC SHAER
2145 W HEMLOCK RDGLENDALE WI 53209
Type: Class:
Low/High rate:
CBRF(414) 228-4749ZVIA & IZHAC SHAER
CS
2,760/5,500M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILL
Gender - Capacity:
Initial License: 2/9/2004
BAYVIEW RESIDENTIAL FACILITY (0010439)
7/31/2020License Renewal Fee Due*:
225 E BROWN DEER RDBAYSIDE WI 53217(414) 540-2324 TENISHA LOVECounty: MILWAUKEE
CREATIVE LIVING ENVIRONMENTS LLC
314 E MAIN STWATERTOWN WI 53094
Type: Class:
Low/High rate:
CBRF(920) 261-1345JIM ZACHE
CNA
3,828/3,828M/F - 20
ADVANCED AGEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILL
Gender - Capacity:
Initial License: 10/19/2015
CREATIVE LIVING ENVIRONMENTS HAVEN BAYSIDE (00158
10/31/2018License Renewal Fee Due*:
9010 N PORT WASHINGTON RDBAYSIDE WI 53217(414) 247-3763 GALINA DONETSCounty: MILWAUKEE
GALINA DONETS
9316 N WAVERLY DRBAYSIDE WI 53217
Type: Class:
Low/High rate:
CBRF(414) 351-5430GALINA DONETS
CNA
3,100/3,600M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 9/11/2002
CRU GROUP HOME BAYSIDE MANOR (0009511)
3/31/2019License Renewal Fee Due*:
9020 N PORT WASHINGTON RDBAYSIDE WI 53217(414) 247-1726 GALINA DONETSCounty: MILWAUKEE
9316 N WAVERLY DRMILWAUKEE WI 53217
Type: Class:
Low/High rate:
CBRF(414) 351-5430GALINA DONETS
CNA
3,500/4,500M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 4/25/2004
CRU GROUP HOME BAYSIDE MANOR II (0010524)
10/31/2018License Renewal Fee Due*:
9289 N PORT WASHINGTON RDBAYSIDE WI 53217(414) 352-4663 AARON CHARAPATACounty: MILWAUKEE
RJJG LLC
9289 N PORT WASHINGTON RDBAYSIDE WI 53217
Type: Class:
Low/High rate:
CBRF(414) 352-4663AARON CHARAPATA
CNA
5,700/7,500M/F - 56
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 6/9/2005
ELIZABETH RESIDENCE OF BAYSIDE (0010952)
11/30/2019License Renewal Fee Due*:
8500 N GREENVALE RDBAYSIDE WI 53217(414) 247-1771 PATRICIA WESTPHALCounty: MILWAUKEE
ATHENA SPS LLC WHITE BIRCH TERRACE
8500 N GREENVALE RDBAYSIDE WI 53217
Type: Class:
Low/High rate:
CBRF(414) 247-1771PATRICIA WESTPHAL
ANA
3,789/5,000M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 1/14/1998
WHITE BIRCH TERRACE (310653)
7/31/2019License Renewal Fee Due*:
8010 N 51ST STBROWN DEER WI 53223(414) 355-1432 RICHARD CZERWANCounty: MILWAUKEE
CREATIVE COMMUNITY LIVING SERVICES INC
314 E MAIN STWATERTOWN WI 53094
Type: Class:
Low/High rate:
CBRF(920) 261-1345JIM ZACHE
CNA
4,976/4,976M/F - 6
DEVELOPMENTALLY DISABLED
Gender - Capacity:
Initial License: 1/31/1982
BRADLEY (310090)
8/31/2020License Renewal Fee Due*:
8238 N 44TH STBROWN DEER WI 53209(414) 351-5430 GALINA DONETSCounty: MILWAUKEE
CRU GROUP HOME INC
9316 N WAVERLY DRMILWAUKEE WI 53217
Type: Class:
Low/High rate:
CBRF(414) 351-5430JAMIE KLEFBOHM
CNA
3,100/3,600M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 5/22/2008
CRU GROUP HOME INC BROWN DEER MANOR (0012325)
5/31/2019License Renewal Fee Due*:
4015 W WOODALE AVEBROWN DEER WI 53209(414) 355-7272 CATHY BAIRDCounty: MILWAUKEE
PARTNERS IN COMMUNITY ELDERCARE LLC
4015 W WOODALE AVEGREEN BAY WI 54941
Type: Class:
Low/High rate:
CBRF(608) 442-8005CATHY BAIRD
CNA
4,026/4,276M/F - 16
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 10/1/2002
KINDREDHEARTS OF BROWN DEER (0009744)
3/31/2019License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 2
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
8875 N 60TH STBROWN DEER WI 53223(262) 613-2836 JENNA RITACCACounty: MILWAUKEE
BEAVER CREEK OPS LLC
8875 N 60TH STBROWN DEER WI 53223
Type: Class:
Low/High rate:
CBRF(952) 746-3630JENNA RITACCA
CNA
336/3,800M/F - 60
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILL
Gender - Capacity:
Initial License: 7/19/2016
NEW PERSPECTIVE NORTH SHORE (0016219)
7/31/2020License Renewal Fee Due*:
8484 N 66TH STBROWN DEER WI 53223(414) 371-1488 RICHARD HINTZCounty: MILWAUKEE
CREATIVE COMMUNITY LIVING SERVICES INC
314 E MAIN STWATERTOWN WI 53094
Type: Class:
Low/High rate:
CBRF(920) 261-1345JENNA WEGNER
CNA
6,082/6,082F - 6
DEVELOPMENTALLY DISABLEDPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 12/1/2003
NORTH 66TH ST (0010149)
9/30/2018License Renewal Fee Due*:
8511 N STONERIDGE CTBROWN DEER WI 53223(414) 586-0012 BRAD ZWICKERCounty: MILWAUKEE
WITZLIB HOLDINGS LLC
7060 N 124TH STMILWAUKEE WI 53224
Type: Class:
Low/High rate:
CBRF(414) 708-4802LINDA WITZLIB
CNA
6,882/6,882M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 6/21/2012
STONERIDGE (0014217)
5/31/2019License Renewal Fee Due*:
5765 W WAHNER DRBROWN DEER WI 53223(414) 355-3364 SCOTT WILDERCounty: MILWAUKEE
MT CASTLE CORPORATION
3808 W ELM STMILWAUKEE WI 53209
Type: Class:
Low/High rate:
CBRF(414) 540-6479SCOTT WILDER
CNA
3,000/3,700M/F - 5
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPUBLIC FUNDING
Gender - Capacity:
Initial License: 10/2/1997
WAHNER HOUSE (310648)
4/30/2019License Renewal Fee Due*:
4103 W WOODALE AVEBROWN DEER WI 53209(414) 302-0902 RICHARD HINTZCounty: MILWAUKEE
CREATIVE COMMUNITY LIVING SERVICES INC
314 E MAIN STWATERTOWN WI 53094
Type: Class:
Low/High rate:
CBRF(920) 261-1345JIM ZACHE
CNA
5,239/5,239M/F - 6
ADVANCED AGEDDEVELOPMENTALLY DISABLEDIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 8/20/2007
WOODALE (0011984)
8/31/2019License Renewal Fee Due*:
3146 E UNDERWOOD AVECUDAHY WI 53110(414) 489-7587 JULIA WARZYNSKICounty: MILWAUKEE
PHOENIX CARE SYSTEMS INC
5555 N 51ST BLVDMILWAUKEE WI 53218
Type: Class:
Low/High rate:
CBRF(414) 527-6970JULIA WARZYNSKI
AA
4,343/4,343M/F - 8
EMOTIONALLY DISTURBED/MENTALILLNESSPUBLIC FUNDING
Gender - Capacity:
Initial License: 9/15/2000
BELL THERAPY UNDERWOOD (0009082)
3/31/2019License Renewal Fee Due*:
3460 E BARNARD AVECUDAHY WI 53110(414) 258-9955 KRISTEN NEHRINGCounty: MILWAUKEE
CUDAHY PLACE SENIOR LIVING LLC
700 N GREEN ST STE 401CHICAGO IL 60642
Type: Class:
Low/High rate:
CBRF(312) 462-4462THOMAS OSTROM
CNA
3,000/7,000M/F - 48
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILL
Gender - Capacity:
Initial License: 3/7/2018
CUDAHY PLACE (0016798)
2/28/2019License Renewal Fee Due*:
3750 E HAMMOND AVECUDAHY WI 53110(414) 486-4120 DAN HOECHERLCounty: MILWAUKEE
INDEPENDENT LIFESTYLES INC
4405 E DEERWOOD DRNEW BERLIN WI 53151-9240
Type: Class:
Low/High rate:
CBRF(262) 782-6068DAN HOECHERL
AS
2,881/2,881M/F - 18
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 11/19/2003
HAMMOND HOUSE (0010416)
5/31/2020License Renewal Fee Due*:
3210 E RAMSEY AVECUDAHY WI 53110(414) 744-4633 DANIEL CASTLEBERRYCounty: MILWAUKEE
RAMSEY WOODS ALF LLC
6931 ARLINGTON ROAD SUITE 320BETHESDA MD 20814
Type: Class:
Low/High rate:
CBRF(828) 381-0419DANIEL CASTLEBERRY
CNA
3,220/7,000M/F - 33
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILL
Gender - Capacity:
Initial License: 10/1/2014
RAMSEY WOODS RESIDENCE (0015208)
9/30/2019License Renewal Fee Due*:
6168 S SWIFT AVECUDAHY WI 53110(414) 762-6005 DANIELLE MOREYCounty: MILWAUKEE
SS L2S OPERATIONS LLC
6801 BOBOLINK RDRACINE WI 53402
Type: Class:
Low/High rate:
CBRF(309) 368-1825DANIELLE MOREY
AS
3,400/4,000M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 6/20/2017
SOUTH SHORE HOUSE (0016639)
6/30/2019License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 3
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
6180 S CREEKSIDE DRCUDAHY WI 53110(414) 762-7408 SHELLEY BECKETTCounty: MILWAUKEE
TOUCHSTONE SENIOR SERVICES LLC
2960 TRIVERTON PIKEMADISON WI 53711
Type: Class:
Low/High rate:
CBRF(608) 276-3449DANIEL FLEMING
CNA
4,290/5,310M/F - 20
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDINGTERMINALLY ILL
Gender - Capacity:
Initial License: 9/30/2000
SYLVAN CROSSINGS AT CREEKSIDE ESTATES (0009038)
3/31/2019License Renewal Fee Due*:
7450 N PORT WASHINGTON RDFOX POINT WI 53217(414) 228-1490 GALINA DONETSCounty: MILWAUKEE
9316 N WAVERLY DRMILWAUKEE WI 53217
Type: Class:
Low/High rate:
CBRF(414) 351-5430GALINA DONETS
CS
3,100/3,600M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 12/14/2000
FOX POINT MANOR (0009113)
6/30/2019License Renewal Fee Due*:
6807 N SANTA MONICA BLVDFOX POINT WI 53217(414) 351-9207 Robert SchonerCounty: MILWAUKEE
MILOUDI INC
W274 S4025 TIMBER TRAILWAUKESHA WI 53189
Type: Class:
Low/High rate:
CBRF(262) 271-0993SAM HASSAN LAHRACHE
CS
3,000/3,300M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 7/1/2009
NORTH SHORE HOUSE (0012761)
2/28/2020License Renewal Fee Due*:
9201 W DREXEL AVEFRANKLIN WI 53132(888) 662-8886 REBECCA GREEN PASSOWCounty: MILWAUKEE
FRANKLIN PSH TENANT LLC
545 E JOHN CARPENTER FWY STE 5IRVING TX 75062
Type: Class:
Low/High rate:
CBRF(214) 845-4500STACIE HERLIHY
CNA
5,400/7,200M/F - 54
IRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 2/22/2018
AUTUMN LEAVES OF FRANKLIN (0017045)
2/22/2019License Renewal Fee Due*:
9535 W LOOMIS RDFRANKLIN WI 53132(414) 448-0800 SUE SOBIERALSKICounty: MILWAUKEE
BRENWOOD PARK SENIOR LIVING INC
1600 W BROADWAY RD, STE 100TEMPE AZ 85282
Type: Class:
Low/High rate:
CBRF(414) 448-0800TANGINA EDWARDS
CNA
2,933/4,645M/F - 50
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 8/1/2015
BRENWOOD PARK ASSISTED LIVING (0015615)
7/31/2020License Renewal Fee Due*:
9460 S 46TH STFRANKLIN WI 53132(414) 423-9904 ANDREW ANSELMICounty: MILWAUKEE
BROTOLOC SOUTH INC
209 S TAFT STWHITEWATER WI 53190
Type: Class:
Low/High rate:
CBRF(414) 423-9904chris Cohen
ANA
5,589/6,374M/F - 6
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 2/5/2010
BROTOLOC FRANKLIN (0013104)
2/28/2020License Renewal Fee Due*:
6751 S 68TH STFRANKLIN WI 53132(414) 858-7000 ROTH WEAVERCounty: MILWAUKEE
SHA MSL GREENDALE LLC
700 N GREEN ST UNIT 401CHICAGO IL 60642
Type: Class:
Low/High rate:
CBRF(312) 623-0884THOMAS OSTROM
CNA
3,000/8,000M/F - 24
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILL
Gender - Capacity:
Initial License: 4/19/2018
CLIFDEN COURT EAST (0016973)
4/30/2019License Renewal Fee Due*:
6771 S 68TH STFRANKLIN WI 53132(414) 858-7000 ROTH WEAVERCounty: MILWAUKEE
SHA MSL GREENDALE LLC
700 N GREEN ST UNIT 401CHICAGO IL 60642
Type: Class:
Low/High rate:
CBRF(312) 623-0884THOMAS OSTROM
CNA
3,000/8,000M/F - 33
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILL
Gender - Capacity:
Initial License: 4/19/2018
CLIFDEN COURT WEST (0016974)
4/30/2019License Renewal Fee Due*:
9329 S 48TH STFRANKLIN WI 53132(414) 421-4324 EGRISELDA TUJANICounty: MILWAUKEE
ELIZABETH RESIDENCE INC
6340 N GREEN BAY AVEGLENDALE WI 53209
Type: Class:
Low/High rate:
CBRF(414) 540-4141RICHARD COURY
CNA
3,437/7,500M/F - 33
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 7/12/2001
ELIZABETH RESIDENCE NORTH (0009330)
1/31/2019License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 4
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
9355 S 48TH STFRANKLIN WI 53132(414) 421-3444 EGRISELDA TUJANICounty: MILWAUKEE
ELIZABETH RESIDENCE INC
6340 N GREEN BAY AVEGLENDALE WI 53209
Type: Class:
Low/High rate:
CBRF(414) 540-4141RICHARD COURY
CNA
3,250/6,700M/F - 31
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 12/1/2003
ELIZABETH RESIDENCE SOUTH (0010429)
5/31/2020License Renewal Fee Due*:
7220 FOXCROFT CTFRANKLIN WI 53132(414) 858-9091 CANDACE DAHLKECounty: MILWAUKEE
BRYANT HOMES LLC
12501 W NEEDHAM DRNEW BERLIN WI 53151
Type: Class:
Low/High rate:
CBRF(414) 241-7067CANDACE DAHLKE
CNA
0/3,790M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 1/1/2012
FOXCROFT CROSSING (0013959)
11/30/2018License Renewal Fee Due*:
9132 SOUTH 92ND STREETFRANKLIN WI 53132(414) 376-5577 ANTONEO DESHAZORCounty: MILWAUKEE
MATT TALBOT RECOVERY SERVICES INC
PO BOX 20007GREENFIELD WI 53220-0007
Type: Class:
Low/High rate:
CBRF(414) 376-5577KARL RAJANI
CNA
600/18,000M - 8
EMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 3/24/2016
FRANKLIN HOUSE (0015898)
3/31/2019License Renewal Fee Due*:
3405 W SYCAMOREFRANKLIN WI 53132(414) 423-5607 DAN HOECHERLCounty: MILWAUKEE
LIFECARE HOMES INC
4405 S DEERWOOD DRNEW BERLIN WI 53151-9240
Type: Class:
Low/High rate:
CBRF(262) 782-6068DAN HOECHERL
CS
3,680/3,680M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 8/1/2001
HIDDEN TERRACE (0009379)
1/31/2020License Renewal Fee Due*:
8781 TRAVIS CTFRANKLIN WI 53132(414) 427-7707 DAN HOECHERLCounty: MILWAUKEE
LIFECARE HOMES INC
4405 S DEERWOOD DRNEW BERLIN WI 53151
Type: Class:
Low/High rate:
CBRF(262) 782-6068DAN HOECHERL
CS
3,258/3,258M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 6/12/1995
LAKE POINTE MANOR (310266)
6/30/2020License Renewal Fee Due*:
8028 W COVENTRY DRFRANKLIN WI 53132
DOUG SVEDACounty: MILWAUKEE
NEXT STEP IN RESIDENTIAL SERVICES LLC
PO BOX 14185WEST ALLIS WI 53214
Type: Class:
Low/High rate:
CBRF(262) 784-1840DOUG SVEDA
CNA
5,747/5,747M/F - 5
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 10/21/2014
NEXT STEP IN RESIDENTIAL SERVICES COVENTRY (00152
10/31/2019License Renewal Fee Due*:
6795 S 51ST STFRANKLIN WI 53132(414) 421-8010 DAN HOECHERLCounty: MILWAUKEE
INDEPENDENT LIFESTYLES INC
4405 S DEERWOOD DRNEW BERLIN WI 53151-9240
Type: Class:
Low/High rate:
CBRF(262) 782-6068DAN HOECHERL
CNA
3,390/3,456M/F - 12
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 2/1/2006
PINE HAVEN (0011114)
7/31/2020License Renewal Fee Due*:
3177 W COLLEGE AVEFRANKLIN WI 53132(414) 761-1943 DEBBIE GEERCounty: MILWAUKEE
REM WISCONSIN II INC
2005 W BELTLINE HIGHWAY #203MADISON WI 53713
Type: Class:
Low/High rate:
CBRF(608) 276-1191SHELLEY HANSEN-BLAKE
CNA
7,551/9,367M/F - 6
DEVELOPMENTALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 9/13/2004
REM WISCONSIN II INC COLLEGE AVE (0010402)
2/28/2019License Renewal Fee Due*:
10520 W ROBINWOOD LNFRANKLIN WI 53132(414) 427-9959 DAN HOECHERLCounty: MILWAUKEE
LIFECARE HOMES INC
4405 S DEERWOOD DRNEW BERLIN WI 53151
Type: Class:
Low/High rate:
CBRF(262) 782-6068DAN HOECHERL
CS
3,222/3,222M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 12/2/1994
ROBINWOOD MANOR (310234)
12/31/2019License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 5
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
8104 S 35TH STFRANKLIN WI 53132(414) 421-1886 KIM NGUYENCounty: MILWAUKEE
SKY RESIDENTIAL SERVICES INC
N94 W20846 SCHLEI RDMENOMONEE FALLS WI 53051
Type: Class:
Low/High rate:
CBRF(414) 534-2979KIM NGUYEN
CNA
5,740/7,750M/F - 6
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 11/1/2007
SKY RESIDENTIAL FRANKLIN (0012151)
10/31/2019License Renewal Fee Due*:
7325 N PORT WASHINGTON RDGLENDALE WI 53217-3416(414) 540-0405 PAM CROFTCounty: MILWAUKEE
MATTHEWS SENIOR HOUSING LLC
700 N GREEN ST. UNIT 401CHICAGO IL 60642
Type: Class:
Low/High rate:
CBRF(312) 623-0884THOMAS OSTROM
CNA
4,020/7,040M/F - 20
ADVANCED AGEDDEVELOPMENTALLY DISABLEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 6/15/2012
MATTHEWS OF MILWAUKEE I (0014182)
5/31/2019License Renewal Fee Due*:
7335 N PORT WASHINGTON RDGLENDALE WI 53217-3416(414) 540-0242 PAM CROFTCounty: MILWAUKEE
MATTHEWS SENIOR HOUSING LLC
700 N GREEN ST. UNIT 401CHICAGO IL 60642
Type: Class:
Low/High rate:
CBRF(312) 623-0884THOMAS OSTROM
CNA
4,020/7,040M/F - 20
ADVANCED AGEDDEVELOPMENTALLY DISABLEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 6/15/2012
MATTHEWS OF MILWAUKEE II (0014181)
5/31/2019License Renewal Fee Due*:
6370 N GREEN BAY AVEGLENDALE WI 53209(414) 797-2603 PENELOPE MIMSCounty: MILWAUKEE
PARKWOOD ASSISTED LIVING LLC
2780 N MENOMONEE RIVER PKWYMILWAUKEE WI 53222
Type: Class:
Low/High rate:
CBRF(414) 774-1740TONY LAHRACHE
CNA
3,200/3,900M/F - 12
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 7/1/2015
PARKWOOD ASSISTED LIVING GREEN HOUSE (0015217)
6/30/2020License Renewal Fee Due*:
6378 N GREEN BAY AVEGLENDALE WI 53209(414) 228-8996 PENNY DUFFCounty: MILWAUKEE
PARKWOOD ASSISTED LIVING LLC
2780 N MENOMONEE RIVER PARKWAYMILWAUKEE WI 53222
Type: Class:
Low/High rate:
CBRF(414) 774-1740TONY LAHRACHE
CNA
3,200/4,100M/F - 15
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 7/1/2015
PARKWOOD ASSISTED LIVING MILL HOUSE (0015216)
6/30/2020License Renewal Fee Due*:
6801 W LOOMIS RDGREENDALE WI 53129(262) 510-1953 MEREDITH HUMPHREYCounty: MILWAUKEE
SHA MSL GREENDALE LLC
700 N GREEN ST UNIT 401CHICAGO IL 60642
Type: Class:
Low/High rate:
CBRF(312) 623-0884THOMAS OSTROM
CNA
3,000/8,000M/F - 68
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILL
Gender - Capacity:
Initial License: 4/19/2018
CLIFDEN COURT NORTH (0016972)
4/30/2019License Renewal Fee Due*:
5762 FINCH LNGREENDALE WI 53129(414) 421-5592 Robert SchonerCounty: MILWAUKEE
MILOUDI INC
W274 S4025 TIMBER TRAILWAUKESHA WI 53189
Type: Class:
Low/High rate:
CBRF(262) 271-0993SAM HASSAN LAHRACHE
CNA
3,000/3,300M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 7/1/2009
FINCH HOUSE (0012715)
2/28/2020License Renewal Fee Due*:
5800 MOCKINGBIRD LNGREENDALE WI 53129(414) 421-9600 DEBRA BARTHCounty: MILWAUKEE
SL HARBOUR VILLAGE LLC
303 E WACKER DR SUITE 2400CHICAGO IL 60601
Type: Class:
Low/High rate:
CBRF(312) 673-4333STEPHEN J LEVY
CNA
4,405/6,300M/F - 48
ADVANCED AGED
Gender - Capacity:
Initial License: 9/18/2008
HARBOUR ASSISTED LIVING RESIDENCES (0012469)
9/30/2018License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 6
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
5900 MOCKINGBIRD LNGREENDALE WI 53129(414) 421-9600 DEBRA BARTHCounty: MILWAUKEE
SL HARBOUR VILLAGE LLC
303 E WACKER DR SUITE 2400CHICAGO IL 60601
Type: Class:
Low/High rate:
CBRF(312) 673-4333STEPHEN J LEVY
CNA
4,515/6,900M/F - 52
IRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 9/18/2008
HARBOUR HOUSE (THE) (0012470)
9/30/2018License Renewal Fee Due*:
5883 W RIVERSIDE DRGREENDALE WI 53129(414) 423-4289 DAN HOECHERLCounty: MILWAUKEE
LIFECARE HOMES INC
4405 S DEERWOOD DRNEW BERLIN WI 53151
Type: Class:
Low/High rate:
CBRF(262) 782-6068DAN HOECHERL
CS
3,741/3,741M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 5/12/2000
RIVERSIDE TERRACE (0008995)
11/30/2018License Renewal Fee Due*:
4865 S 95TH STGREENFIELD WI 53228(414) 427-5432 DAN HOECHERLCounty: MILWAUKEE
GOLDEN CARE INC
4405 S DEERWOOD DRNEW BERLIN WI 53151
Type: Class:
Low/High rate:
CBRF(262) 782-6068DAN HOECHERL
CS
3,278/3,278M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 10/9/1997
ABBYHAVEN (310658)
4/30/2020License Renewal Fee Due*:
4340 S 116TH STGREENFIELD WI 53228(414) 708-5679 LAUREN BALTZCounty: MILWAUKEE
AUTUMN LIVING INC
PO BOX 182HALES CORNERS WI 53130
Type: Class:
Low/High rate:
CBRF(414) 397-4176ALLEN SCHOENLEBER
AS
3,275/3,700M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 6/22/2005
AUTUMN LIVING SOUTH (0010953)
12/31/2019License Renewal Fee Due*:
3826 S 36TH STGREENFIELD WI 53221(414) 325-0741 ANDREW ANSELMICounty: MILWAUKEE
BROTOLOC SOUTH INC
209 S TAFT STWHITEWATER WI 53190
Type: Class:
Low/High rate:
CBRF(262) 473-0480Chris Cohen
ANA
5,870/6,008M/F - 7
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 2/5/2010
BROTOLOC GREENFIELD (0013102)
2/28/2020License Renewal Fee Due*:
4900 S 68th StreetGreenfield WI 53220(414) 817-9188 KRISTOPHER KIEFERCounty: MILWAUKEE
Castle Senior Living Inc
10521 W Layton AvenueGreenfield WI 53228
Type: Class:
Low/High rate:
CBRF(414) 427-1655Kristopher Kiefer
CS
3,800/5,000M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 2/19/2015
Camelot Castle (0015518)
2/28/2019License Renewal Fee Due*:
3939 S 92ND STREETGREENFIELD WI 53228(414) 321-1800 DENNIS FERGERCounty: MILWAUKEE
CLEMENT MANOR INC
3939 S 92ND STREETGREENFIELD WI 53228
Type: Class:
Low/High rate:
CBRF(414) 321-1800DENNIS FERGER
CNA
5,000/6,000M/F - 23
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 4/6/2017
CLEMENT MANOR INC (0016468)
3/31/2020License Renewal Fee Due*:
12320 W LAYTON AVEGREENFIELD WI 53228(414) 425-8777 TENISHA LOVECounty: MILWAUKEE
CREATIVE LIVING ENVIRONMENTS LLC
314 E MAIN STWATERTOWN WI 53094
Type: Class:
Low/High rate:
CBRF(920) 261-1345JENNA WEGNER
AS
2,708/2,908M/F - 8
ADVANCED AGEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 10/10/2008
CREATIVE LIVING ENVIRONMENTS LAYTON COURT (00124
9/30/2018License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 7
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
11125 W Layton AvenueGreenfield WI 53228(414) 427-0027 KRISTOPHER KIEFERCounty: MILWAUKEE
Castle Senior Living Inc
10521 W Layton Ave Suite 201Greefield WI 53228
Type: Class:
Low/High rate:
CBRF(414) 427-1655Kristopher Kiefer
CNA
3,800/5,000M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 2/19/2015
Emerald Castle (0015520)
2/28/2019License Renewal Fee Due*:
5210 S 44TH STGREENFIELD WI 53220-5111(414) 423-8226 JOE FUCHSCounty: MILWAUKEE
HILLCREST HOMES OF WEST ALLIS INC
12720 W LISBON RDBROOKFIELD WI 53005
Type: Class:
Low/High rate:
CBRF(414) 322-5437JOSEPH FUCHS
AS
1,875/2,010M/F - 8
DEVELOPMENTALLY DISABLED
Gender - Capacity:
Initial License: 9/15/1990
HILLCREST HOMES 44TH (310118)
9/30/2019License Renewal Fee Due*:
9200 W LAYTON AVEGREENFIELD WI 53228(414) 425-5600 BETH ANDERSONCounty: MILWAUKEE
LAYTON TERRACE V LLC
1805 KENSINGTON DRWAUKESHA WI 53188
Type: Class:
Low/High rate:
CBRF(262) 548-5965BETH ANDERSON
CNA
2,925/4,295M/F - 70
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SWAIVER CERTIFIED INDEPENDENT CBRF APTS
Gender - Capacity:
Initial License: 8/27/1999
LAYTON TERRACE (0008596)
2/28/2020License Renewal Fee Due*:
4013 S 119TH STGREENFIELD WI 53228(414) 545-6587 DAN HOECHERLCounty: MILWAUKEE
LIFECARE HOMES INC
4405 E DEERWOOD DRNEW BERLIN WI 53151-9240
Type: Class:
Low/High rate:
CBRF(262) 782-6068DAN HOECHERL
CS
3,258/3,258M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 2/10/2000
LIFECARE MANOR (0008891)
8/31/2020License Renewal Fee Due*:
11250 W COLDSPRING RDGREENFIELD WI 53228(414) 427-7857 BETH DESAICounty: MILWAUKEE
MAXSON MANOR INC
1509 92ND STREET #83STURTEVANT WI 53177
Type: Class:
Low/High rate:
CBRF(414) 427-7857SCOTT CHAPPELL
CNA
3,100/3,300M/F - 8
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 6/17/2002
MAXSON MANOR (0009569)
12/31/2018License Renewal Fee Due*:
5128 W MIDLAND DRGREENFIELD WI 53220(414) 545-0660 DAN HOECHERLCounty: MILWAUKEE
LIFECARE HOMES INC
4405 S DEERWOOD DRNEW BERLIN WI 53151
Type: Class:
Low/High rate:
CBRF(262) 782-6068DAN HOECHERL
CS
3,279/3,279M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 2/5/1999
MIDLAND TERRACE (0008521)
8/31/2019License Renewal Fee Due*:
8765 W FOREST HOME AVEGREENFIELD WI 53228(414) 427-0744 MICHELLE RINGWOLSKICounty: MILWAUKEE
VILLA OF GREENFIELD LLC
8765 W FOREST HOME AVEGREENFIELD WI 53228
Type: Class:
Low/High rate:
CBRF(414) 427-0744TIMOTHY GLOWINSKI
CNA
3,000/5,000M/F - 42
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 6/15/2017
OAK CREST VILLA (0016630)
6/30/2020License Renewal Fee Due*:
9640 W. Layton AvenueGreenfield WI 53228(414) 529-9910 Billmeyer KathyCounty: MILWAUKEE
Castle Senior Living Inc
10521 W. Layton Ave Suite 201Greenfield WI 53228
Type: Class:
Low/High rate:
CBRF(414) 427-1655Kristopher Kiefer
CNA
3,800/5,000M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 2/19/2015
Sienna Castle (0015519)
9/30/2018License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 8
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
5900 S. 92nd StreetHales Corners WI 53130(414) 529-8558 KRISTOPHER KIEFERCounty: MILWAUKEE
Castle Senior Living Inc
10521 W Layton Ave Ste 201Greefield WI 53228
Type: Class:
Low/High rate:
CBRF(414) 427-1655Kristopher Kiefer
CS
3,800/5,000M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 2/19/2015
Castle Gardens (0015521)
2/28/2019License Renewal Fee Due*:
10133 Brookside DriveHales Corners WI 53130(414) 427-9344 KRISTOPHER KIEFERCounty: MILWAUKEE
Castle Senior Living Inc
10521 W. Layton Ave Suite 201Greenfield WI 53228
Type: Class:
Low/High rate:
CBRF(414) 427-1655Kristopher Kiefer
CNA
3,800/5,000M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 2/19/2015
Castle Ridge (0015523)
9/30/2018License Renewal Fee Due*:
5267 MEADOWLARK LNHALES CORNERS WI 53130-1068(262) 492-1155 DOROTHY LUMPKINCounty: MILWAUKEE
HOMES FOR INDEPENDENT LIVING OF WI LLC
1249 RUSSETT COURTGREEN BAY WI 54313
Type: Class:
Low/High rate:
CBRF(262) 569-5515LYNN MATZKE
CNA
7,229/7,229M/F - 6
PHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 9/22/2008
HIL MEADOWLARK HOME (0012377)
7/31/2019License Renewal Fee Due*:
6275 S 106TH STHALES CORNERS WI 53130(414) 427-4993 DOROTHY LUMPKINCounty: MILWAUKEE
HOMES FOR INDEPENDENT LIVING OF WI LLC
1249 RUSSETT COURTGREEN BAY WI 54313
Type: Class:
Low/High rate:
CBRF(262) 569-5515LYNN MATZKE
CNA
7,107/7,107M/F - 6
DEVELOPMENTALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 1/1/2002
HIL WHITNALL HOUSE (0009798)
12/31/2019License Renewal Fee Due*:
5910 S 118TH STHALES CORNERS WI 53130(414) 803-3497 VITALIY GORELIKCounty: MILWAUKEE
GOLDEN MILLENNIUM ENTERPRISES LLC
3701 W SHERBROOKE DRMEQUON WI 53092
Type: Class:
Low/High rate:
CBRF(414) 803-3497VITALIY GORELIK
CNA
3,446/6,000M/F - 20
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 7/13/2018
PARK HILLS WEST (0017154)
6/30/2020License Renewal Fee Due*:
8225B N 107TH STMILWAUKEE WI 53224(414) 870-2207 LISA NETTERVILLECounty: MILWAUKEE
8225B N 107TH STMILWAUKEE WI 53224
Type: Class:
Low/High rate:
CBRF(414) 870-2207MARY MITCHELL
ANA
4,000/5,000M/F - 8
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 1/23/2017
A NURTURING HOME AWAY FROM HOME INC (0015887)
1/31/2020License Renewal Fee Due*:
5100 N 42ND STMILWAUKEE WI 53209(414) 438-9433 TONI HOWARDCounty: MILWAUKEE
A PLACE FOR MIRACLES LIVING CENTER INC
5100 N 42ND STMILWAUKEE WI 53209
Type: Class:
Low/High rate:
CBRF(414) 788-3068TONI HOWARD
CNA
2,400/5,550M/F - 6
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 6/9/2003
A PLACE FOR MIRACLES LIVING CENTER (0009870)
12/31/2019License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 9
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
7022 N 43RD STMILWAUKEE WI 53209(414) 438-9433 TONI HOWARDCounty: MILWAUKEE
A PLACE FOR MIRACLES LIVING CENTER INC
5100 N 42ND STMILWAUKEE WI 53209
Type: Class:
Low/High rate:
CBRF(414) 788-3068TONI HOWARD
CA
2,415/3,500M/F - 7
DEVELOPMENTALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 3/30/2006
A PLACE FOR MIRACLES LIVING CENTER II (0011085)
9/30/2018License Renewal Fee Due*:
3927 W ROOSEVELT DRMILWAUKEE WI 53216(414) 444-0234 TONI HOWARDCounty: MILWAUKEE
A PLACE FOR MIRACLES LIVING CENTER III LLC
5100 N 42ND STMILWAUKEE WI 53209
Type: Class:
Low/High rate:
CBRF(414) 788-3068TONI HOWARD
CA
2,700/3,500M/F - 6
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 5/1/2007
A PLACE FOR MIRACLES LIVING CENTER III (0011885)
4/30/2019License Renewal Fee Due*:
1904 E BELLEVIEW PLMILWAUKEE WI 53211(414) 962-3200 MARJORIE GLEESONCounty: MILWAUKEE
ABUNDANT LIFE MINISTRY INC
1904 E BELLEVIEW PLMILWAUKEE WI 53211
Type: Class:
Low/High rate:
CBRF(414) 962-3200MARJORIE GLEESON
CNA
5,055/5,500M/F - 42
ADVANCED AGEDALCOHOL/DRUG DEPENDENTEMOTIONALLY DISTURBED/MENTALILLNESSPUBLIC FUNDING
Gender - Capacity:
Initial License: 5/10/2006
ABUNDANT LIFE MANOR (0011483)
10/31/2018License Renewal Fee Due*:
4035 N 68TH STMILWAUKEE WI 53216(414) 213-9095 KATIE HARRISCounty: MILWAUKEE
AGAPE SUPPORTIVE LIVING SERVICES LLC
P O BOX 100594MILWAUKEE WI 53210
Type: Class:
Low/High rate:
CBRF(414) 213-9095KATIE HARRIS
AA
2,907/3,412M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLED
Gender - Capacity:
Initial License: 2/16/2004
AGAPE SUPPORTIVE LIVING SERVICES II (0010453)
8/31/2018License Renewal Fee Due*:
2977 N 52ND STMILWAUKEE WI 53210(414) 444-6181 KATIE HARRISCounty: MILWAUKEE
AGAPE SUPPORTIVE LIVING SERVICES LLC
P O BOX 100594MILWAUKEE WI 53210
Type: Class:
Low/High rate:
CBRF(414) 213-9095KATIE HARRIS
AA
2,907/3,009M/F - 6
DEVELOPMENTALLY DISABLED
Gender - Capacity:
Initial License: 9/16/2002
AGAPE SUPPORTIVE LIVING SERVICES LLC (0009653)
3/31/2019License Renewal Fee Due*:
9301 N 76TH STMILWAUKEE WI 53223(414) 355-9300 CARRIE HENSELCounty: MILWAUKEE
ALEXIAN VILLAGE OF MILWAUKEE INC
9301 N 76TH STMILWAUKEE WI 53223
Type: Class:
Low/High rate:
CBRF(414) 355-9300CARRIE HENSEL
CNA
5,645/8,350M/F - 29
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 12/1/1991
ALEXIAN VILLAGE OF MILWAUKEE COURTYARD (310150)
10/31/2019License Renewal Fee Due*:
9301 N 76TH STMILWAUKEE WI 53223(414) 355-9300 CARRIE HENSELCounty: MILWAUKEE
ALEXIAN VILLAGE OF MILWAUKEE INC
9301 N 76TH STMILWAUKEE WI 53223
Type: Class:
Low/High rate:
CBRF(414) 355-9300CARRIE HENSEL
CNA
5,481/7,810M/F - 64
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 7/22/1999
ALEXIAN VILLAGE SQUARE (0008627)
1/31/2020License Renewal Fee Due*:
312 E WISCONSIN AVEMILWAUKEE WI 53202(844) 801-9529 MARGARITA EKELMANCounty: MILWAUKEE
ALORIA OF WORCESTER LLC
312 E WISCONSIN AVE FLOOR 3MILWAUKEE WI 53202
Type: Class:
Low/High rate:
CBRF(847) 329-4100MARGARITA EKELMAN
AA
960/1,600M/F - 50
EMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 12/8/2016
ALORIA MILWAUKEE (0016253)
11/30/2019License Renewal Fee Due*:
3843 N 51ST BLVDMILWAUKEE WI 53216(414) 445-7449 LUREAN SLOCUMCounty: MILWAUKEE
L & L ANCHORAGE HOMES
5340 W MELVINA STMILWAUKEE WI 53216
Type: Class:
Low/High rate:
CBRF(414) 871-4272LUREAN SLOCUM
AS
2,750/3,415M/F - 7
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 5/1/2008
ANCHORAGE HOMES II (0012095)
3/31/2020License Renewal Fee Due*:
1022 W MADISON STREETMILWAUKEE WI 53204(414) 837-6054 DEBRA WOLKOMIRCounty: MILWAUKEE
ARC COMMUNITY SERVICES INC
2001 W BELTLINE HIGHWAY #102MADISON WI 53713
Type: Class:
Low/High rate:
CBRF(608) 278-2300KAREN KINSEY
AA
3,515F - 13
ALCOHOL/DRUG DEPENDENTCORRECTIONAL CLIENTS
Gender - Capacity:
Initial License: 5/27/2014
ARC MILWAUKEE WOMENS PROGRAM (0014817)
5/31/2019License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 10
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
2466 N 50TH STREETMILWAUKEE WI 53210(414) 871-5943 TIM MCGUIRECounty: MILWAUKEE
MCFI DBA WHOLE CLINICAL HEALTH GROUP
932 S 60TH STREETMILWAUKEE WI 53214
Type: Class:
Low/High rate:
CBRF(414) 476-9631TIM MCGUIRE
AA
3,537/3,537M - 12
EMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 8/7/2014
BARNETT HOUSE (0015010)
7/31/2020License Renewal Fee Due*:
5151 W SILVER SPRING DRMILWAUKEE WI 53218-3300(414) 527-6970 JULIA WARZYNSKICounty: MILWAUKEE
PHOENIX CARE SYSTEMS INC
5555 N 51ST BLVDMILWAUKEE WI 53218-3300
Type: Class:
Low/High rate:
CBRF(414) 527-6970JULIA WARZYNSKI
CS
4,458/4,458M/F - 46
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPUBLIC FUNDING
Gender - Capacity:
Initial License: 9/22/2005
BELL THERAPY BELWOOD (0010783)
3/31/2020License Renewal Fee Due*:
1141 N 46TH STMILWAUKEE WI 53208(414) 344-1993 JULIA WARZYNSKICounty: MILWAUKEE
PHOENIX CARE SYSTEMS INC
5555 51ST BLVDMILWAUKEE WI 53218
Type: Class:
Low/High rate:
CBRF(414) 527-6970JULIA WARZYNSKI
AA
3,155/3,426M/F - 8
EMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 6/10/1991
BELL THERAPY BELWOOD VIII MARTIN CBRF (310134)
3/31/2019License Renewal Fee Due*:
101 N 75TH STMILWAUKEE WI 53213(414) 258-2290 JULIA WARZYNSKICounty: MILWAUKEE
PHOENIX CARE SYSTEMS INC
5555 N 51ST BLVDMILWAUKEE WI 53218
Type: Class:
Low/High rate:
CBRF(414) 527-6970JULIA WARZYNSKI
AA
3,084/3,084M/F - 8
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 11/1/1984
BELL THERAPY BLUEMOUND (310038)
10/31/2018License Renewal Fee Due*:
7229 7231 W BRENTWOOD AVEMILWAUKEE WI 53223(414) 358-0906 JULIA WARZYNSKICounty: MILWAUKEE
PHOENIX CARE SYSTEMS INC
5555 N 51ST BLVDMILWAUKEE WI 53218-3300
Type: Class:
Low/High rate:
CBRF(414) 527-6970JULIA WARZYNSKI
AA
2,606/2,606M/F - 8
EMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 6/1/2006
BELL THERAPY BRENTWOOD (0011269)
11/30/2018License Renewal Fee Due*:
6328 W CHAMBERS STMILWAUKEE WI 53210(414) 444-2606 JULIA WARZYNSKICounty: MILWAUKEE
PHOENIX CARE SYSTEMS INC
5555 N 51ST BLVDMILWAUKEE WI 53218-3300
Type: Class:
Low/High rate:
CBRF(414) 527-6970JULIA WARZYNSKI
AA
3,109/3,968M/F - 8
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 1/1/1988
BELL THERAPY CHAMBERS (310079)
5/31/2019License Renewal Fee Due*:
6333 W CONGRESS STMILWAUKEE WI 53218(414) 461-4670 JULIA WARZYNSKICounty: MILWAUKEE
PHOENIX CARE SYSTEMS INC
5555 N 51 ST BLVDMILWAUKEE WI 53218-3300
Type: Class:
Low/High rate:
CBRF(414) 527-6970JULIA WARZYNSKI
AA
2,704/3,844M/F - 8
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 10/31/1984
BELL THERAPY CONGRESS (310059)
11/30/2018License Renewal Fee Due*:
7401 W FLORIST AVEMILWAUKEE WI 53218(414) 438-1820 JULIA WARZYNSKICounty: MILWAUKEE
PHOENIX CARE SYSTEMS INC
5555 N 51st BlvdMILWAUKEE WI 53218-3300
Type: Class:
Low/High rate:
CBRF(414) 527-6970JULIA WARZYNSKI
AA
3,111/3,758M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 4/23/2002
BELL THERAPY FLORIST (0009565)
10/31/2018License Renewal Fee Due*:
4901 N 106TH STMILWAUKEE WI 53225(414) 527-6970 JULIA WARZYNSKICounty: MILWAUKEE
PHOENIX CARE SYSTEMS INC
5555 N 51ST BLVDMILWAUKEE WI 53218
Type: Class:
Low/High rate:
CBRF(414) 527-6970JULIA WARZYNSKI
CA
3,374/3,374M/F - 8
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 11/21/1988
BELL THERAPY HAMPTON (310104)
9/30/2019License Renewal Fee Due*:
6105 W KEEFE AVE PKWYMILWAUKEE WI 53216(414) 447-7566 JULIA WARZYNSKICounty: MILWAUKEE
PHOENIX CARE SYSTEMS INC
5555 N 51ST BLVDMILWAUKEE WI 53218-3300
Type: Class:
Low/High rate:
CBRF(414) 527-6970JULIA WARZYNSKI
AA
6,407/6,407M/F - 6
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 3/31/1996
BELL THERAPY KEEFE (310295)
10/31/2018License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 11
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
10133 10135 W KIEHNAU AVEMILWAUKEE WI 53224(414) 353-5567 JULIA WARZYNSKICounty: MILWAUKEE
PHOENIX CARE SYSTEMS INC
5555 N 51 ST BLVDMILWAUKEE WI 53218
Type: Class:
Low/High rate:
CBRF(414) 527-6970JULIA WARZYNSKI
CA
5,009/5,009M/F - 8
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPUBLIC FUNDING
Gender - Capacity:
Initial License: 12/12/2005
BELL THERAPY KIEHNAU (0011199)
11/30/2018License Renewal Fee Due*:
2858 S 68TH STMILWAUKEE WI 53219(414) 327-7510 JULIA WARZYNSKICounty: MILWAUKEE
PHOENIX CARE SYSTEMS INC
5555 N 51 ST BLVDMILWAUKEE WI 53218-3300
Type: Class:
Low/High rate:
CBRF(414) 527-6970JULIA WARZYNSKI
CA
4,966/4,966M - 5
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 6/26/2000
BELL THERAPY KINNICKINNIC (KK) (0009000)
12/31/2018License Renewal Fee Due*:
5470 N 19TH STMILWAUKEE WI 53209(414) 527-6970 JULIA WARZYNSKICounty: MILWAUKEE
PHOENIX CARE SYSTEMS INC
5555 N 51ST BLVDMILWAUKEE WI 53218
Type: Class:
Low/High rate:
CBRF(414) 527-6970JULIA WARZYNSKI
AA
3,088/3,088M/F - 8
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 7/1/1984
BELL THERAPY SHERIDAN (310057)
9/30/2019License Renewal Fee Due*:
5554-5556 N 57TH STMILWAUKEE WI 53218(414) 463-8006 JULIA WARZYNSKICounty: MILWAUKEE
PHOENIX CARE SYSTEMS INC
5555 N 51ST BLVDMILWAUKEE WI 53218
Type: Class:
Low/High rate:
CBRF(414) 527-6970JULIA WARZYNSKI
AA
5,349/5,349M/F - 8
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 10/1/2005
BELL THERAPY SILVERLAWN (0012049)
9/30/2019License Renewal Fee Due*:
5734 N 94TH STMILWAUKEE WI 53225(414) 462-7117 JULIA WARZYNSKICounty: MILWAUKEE
PHOENIX CARE SYSTEMS INC
5555 N 51ST BLVDMILWAUKEE WI 53218
Type: Class:
Low/High rate:
CBRF(414) 527-6970JULIA WARZYNSKI
AA
5,299/5,299M/F - 8
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 8/6/1999
BELL THERAPY THURSTON (0008680)
10/31/2018License Renewal Fee Due*:
8207 W VILLARD AVEMILWAUKEE WI 53218(414) 462-6414 JULIA WARZYNSKICounty: MILWAUKEE
PHOENIX CARE SYSTEMS INC
5555 N 51 ST BLVDMILWAUKEE WI 53218-3300
Type: Class:
Low/High rate:
CBRF(414) 527-6970JULIA WARZYNSKI
AA
5,145/5,360M/F - 8
DEVELOPMENTALLY DISABLED
Gender - Capacity:
Initial License: 5/31/1985
BELL THERAPY VILLARD (310067)
11/30/2018License Renewal Fee Due*:
3430 S 38TH STMILWAUKEE WI 53215(414) 647-9298 HOLLY NYGROCounty: MILWAUKEE
HEALTHSPAN INC
5520 W FOREST HOME AVEGREENFIELD WI 53220
Type: Class:
Low/High rate:
CBRF(414) 541-4700LORI PAPROCKI
AA
4,245/5,475F - 6
CORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 2/12/1996
BRADLEY HOUSE (310279)
8/31/2019License Renewal Fee Due*:
4072-4074 N 64TH STMILWAUKEE WI 53216-0000(414) 461-9378 LATRESHA A ROBINSON RNCounty: MILWAUKEE
6114 W CAPITOL DR SUITE 212MILWAUKEE WI 53216
Type: Class:
Low/High rate:
CBRF(414) 736-9775LATRESHA A ROBINSON RN
CS
3,500/4,000M/F - 7
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 2/22/2008
BREATH OF LIFE RESIDENCE (0012232)
2/28/2019License Renewal Fee Due*:
8221 W BURLEIGH STREETMILWAUKEE WI 53222(414) 449-9891 TIM MCGUIRECounty: MILWAUKEE
MCFI dba WHOLE HEALTH CLINICAL GROUP
932 S 60TH STREETMILWAUKEE WI 53214
Type: Class:
Low/High rate:
CBRF(414) 476-9631TIM MCGUIRE
AA
4,429/4,429F - 8
EMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 7/28/2014
BURLEIGH HOUSE (0015155)
7/31/2020License Renewal Fee Due*:
10730 W CALUMET RDMILWAUKEE WI 53224(414) 355-5921 LINDA J WITZLIBCounty: MILWAUKEE
LINDA WITZLIB
7060 N 124TH STMILWAUKEE WI 53224
Type: Class:
Low/High rate:
CBRF(414) 708-4802LINDA J WITZLIB
CNA
7,340/7,584M/F - 8
DEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 2/16/2007
CALUMET CORNERS I (0011786)
3/29/2019License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 12
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
3531 W GRANGE AVENUEMILWAUKEE WI 53221(414) 390-4328 KRISTOPHER KIEFERCounty: MILWAUKEE
CASTLE SENIOR LIVING, INC.
10521 W LAYTON AVENUE STE 201GREENFIELD WI 53228
Type: Class:
Low/High rate:
CBRF(414) 427-1655KRISTOPHER KIEFER
CNA
4,500/6,200M/F - 8
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 8/26/2015
CAMBRIDGE CASTLE (0015544)
8/31/2020License Renewal Fee Due*:
5790 S 27TH STMILWAUKEE WI 53221(414) 282-1300 MILAN KRESOVICCounty: MILWAUKEE
CAMEO ASSISTED LIVING LLC
5790 S 27TH STMILWAUKEE WI 53221
Type: Class:
Low/High rate:
CBRF(773) 897-9240MILAN KRESOVIC
CNA
4,000/6,000M/F - 49
ADVANCED AGEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILL
Gender - Capacity:
Initial License: 2/22/2018
CAMEO COURT (0016898)
2/28/2019License Renewal Fee Due*:
1840 N PROSPECT AVEMILWAUKEE WI 53202(414) 831-6976 JOHN W GEORGECounty: MILWAUKEE
ST JOHNS COMMUNITIES INC
1840 N PROSPECT AVEMILWAUKEE WI 53202
Type: Class:
Low/High rate:
CBRF(414) 272-2022JOHN W GEORGE
CNA
5,720/7,410M/F - 24
ADVANCED AGED
Gender - Capacity:
Initial License: 8/9/1993
CANTERBURY COURT (310175)
8/31/2019License Renewal Fee Due*:
1400 N PROSPECT AVEMILWAUKEE WI 53202(414) 289-9600 TRISH COHNCounty: MILWAUKEE
PROSPECT CONGREGATE HOUSING INC
1400 N PROSPECT AVEMILWAUKEE WI 53202
Type: Class:
Low/High rate:
CBRF(414) 289-9600TRISH COHN
CNA
2,374/3,550M/F - 38
ADVANCED AGEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 3/28/1994
CHAI POINT ASSISTED LIVING (310190)
3/31/2020License Renewal Fee Due*:
9025 W CONGRESS STMILWAUKEE WI 53225(414) 745-3053 LUCAS SANDERSCounty: MILWAUKEE
ABSOLUTE HOME CARE LLC
P O BOX 242183MILWAUKEE WI 53224
Type: Class:
Low/High rate:
CBRF(414) 745-3053MICHAEL ROGINSKIY
ANA
2,950/4,500M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 9/28/2010
CONGRESS PLACE (0013291)
2/28/2019License Renewal Fee Due*:
2057 S 14TH STREETMILWAUKEE WI 53204(414) 449-9891 DAN BAKERCounty: MILWAUKEE
MCFI dba WHOLE HEALTH CLINICAL GROUP
1040 S 70TH STREETMILWAUKEE WI 53214
Type: Class:
Low/High rate:
CBRF(414) 476-9631DAN BAKER
AA
5,952/13,687M/F - 15
EMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 11/6/2014
CRISIS RESOURCE CENTER (0015203)
10/31/2019License Renewal Fee Due*:
4501-4507 N 87TH STMILWAUKEE WI 53225(414) 462-3839 KIM BEQUESTCounty: MILWAUKEE
DUNGARVIN WISCONSIN LLC
10425 W NORTH AVE STE 330WAUWATOSA WI 53226
Type: Class:
Low/High rate:
CBRF(414) 443-1311KIM BEQUEST
CNA
23,192/23,192M/F - 7
DEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 4/3/2012
DUNGARVIN WI N 87TH (0013957)
3/31/2019License Renewal Fee Due*:
2429 E BRADFORD AVEMILWAUKEE WI 53211(414) 963-6151 TYLER GUDEXCounty: MILWAUKEE
EASTCASTLE PLACE
2429 E BRADFORD AVEMILWAUKEE WI 53211
Type: Class:
Low/High rate:
CBRF(414) 963-6151TYLER GUDEX
CNA
5,964/6,603M/F - 18
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 6/14/2007
EASTCASTLE PLACE (0011864)
11/30/2019License Renewal Fee Due*:
7000 N 44TH STMILWAUKEE WI 53223(414) 334-1225 DEBORAH CROWLEYCounty: MILWAUKEE
THE ESTHER HOUSE, INC.
3340 N 49TH STMILWAUKEE WI 53216
Type: Class:
Low/High rate:
CBRF(414) 873-0515DEBORAH CROWLEY
CNA
3,934/4,210M/F - 5
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 3/31/2009
ESTHERMERE MANOR (0012625)
3/31/2020License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 13
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
3031 W FARDALE AVEMILWAUKEE WI 53221(414) 282-4123 MELISSA TAYLORCounty: MILWAUKEE
FRONTIDA INC
PO BOX 580254PLEASANT PRAIRIE WI 53158
Type: Class:
Low/High rate:
CBRF(262) 925-9302CARIN SCHULTZ
CS
2,650/3,800M/F - 20
ADVANCED AGEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 4/1/2009
FARDALE HOME (0012692)
3/31/2020License Renewal Fee Due*:
8526 W MILL RDMILWAUKEE WI 53225(414) 940-6608 PAULA GASTONCounty: MILWAUKEE
GARDEN VIEW PLATINUM LLC
18110 W BLUEMOUND RD #4 LWRBROOKFIELD WI 53045
Type: Class:
Low/High rate:
CBRF(414) 940-3134JOHN TERESINSKI
CNA
2,800/3,700M/F - 38
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILL
Gender - Capacity:
Initial License: 1/27/2010
GOLDEN GARDENS (0012911)
11/30/2019License Renewal Fee Due*:
6526 W BLUEMOUND RDMILWAUKEE WI 53213(414) 258-1514 BRIDGETTE GUYCounty: MILWAUKEE
GOLDEN VIEW LLC
6526 W BLUEMOUND ROADMILWAUKEE WI 53213
Type: Class:
Low/High rate:
CBRF(262) 989-5382MARY FILLER
CNA
2,500/3,000M/F - 33
ADVANCED AGEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 3/6/2006
GOLDEN VIEW (0011359)
2/28/2019License Renewal Fee Due*:
7070 N 124TH STMILWAUKEE WI 53224(414) 358-2578 LINDA WITZLIBCounty: MILWAUKEE
GOOD HOPE MANOR MILWAUKEE LLC
7060 N 124TH STMILWAUKEE WI 53224
Type: Class:
Low/High rate:
CBRF(414) 358-1774LINDA WITZLIB
CNA
7,790/8,049M/F - 7
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 8/19/2003
GOOD HOPE MANOR MILWAUKEE (0010158)
2/28/2020License Renewal Fee Due*:
7060 N 124TH STREETMILWAUKEE WI 53224(414) 358-1750 JESSICIA SANCHEZCounty: MILWAUKEE
GOOD HOPE MANOR MILWAUKEE LLC
7060 N 124TH STREETMILWAUKEE WI 53224
Type: Class:
Low/High rate:
CBRF(414) 358-1774LINDA J WITZLIB
CNA
6,690/9,750M/F - 8
DEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 11/2/2005
GOOD HOPE MANOR MILWAUKEE II (0011030)
3/30/2019License Renewal Fee Due*:
3628 N 41ST STMILWAUKEE WI 53216(414) 442-5740 ARDELIA SWIAMSCounty: MILWAUKEE
GRACEFUL LIVING CENTER INC
3917 N 26TH STMILWAUKEE WI 53206
Type: Class:
Low/High rate:
CBRF(414) 975-2485ARDELIA SWIAMS
AA
2,750/3,750M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 9/17/2008
GRACEFUL LIVING CENTER INC (0012451)
9/30/2019License Renewal Fee Due*:
4265 N 104TH STMILWAUKEE WI 53222(414) 461-2300 PATTI HANSBURGCounty: MILWAUKEE
CLOSE TO HOME SENIOR LIVING CENTER
2882 S 132ND STNEW BERLIN WI 53151
Type: Class:
Low/High rate:
CBRF(262) 782-5496PATTI HANSBURG
CS
3,062/4,500M/F - 20
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 1/10/2007
GRANTOSA HOME (0011552)
6/30/2019License Renewal Fee Due*:
7019 W HAMPTON AVENUEMILWAUKEE WI 53218(414) 578-1294 RACHEL OEMIG KLEINCounty: MILWAUKEE
OMEGA COMMUNITY SERVICES, LLC
7019 W HAMPTON AVENUEMILWAUKEE WI 53218
Type: Class:
Low/High rate:
CBRF(414) 380-2436RACHEL OEMIG KLEIN
AA
3,183/10,254M/F - 6
DEVELOPMENTALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 1/1/2014
HAMPTON II (0014895)
12/30/2018License Renewal Fee Due*:
4615 W HAMPTON AVEMILWAUKEE WI 53218(414) 466-6427 SHARON BUTLERCounty: MILWAUKEE
WILLOW OF PARKVIEW INC
2711 W HOWARD STCHICAGO IL 60645-1303
Type: Class:
Low/High rate:
CBRF(414) 466-6427SAMUEL BRANDMAN
CNA
3,300/3,800M/F - 36
ADVANCED AGEDCORRECTIONAL CLIENTSEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 12/2/1996
HAMPTON SUPPORTIVE CARE (310631)
9/30/2018License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 14
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
3700 3702 S HERMAN STMILWAUKEE WI 53207(414) 800-7927 HOLLY NYGROCounty: MILWAUKEE
HEALTHSPAN INC
5520 W FOREST HOME AVEGREENFIELD WI 53220
Type: Class:
Low/High rate:
CBRF(414) 541-4700LORI PAPROCKI
AA
3,100/5,500M/F - 6
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSTERMINALLY ILL
Gender - Capacity:
Initial License: 5/1/2003
HERMAN HOUSE (0010082)
10/31/2019License Renewal Fee Due*:
2850 MENOMONEE RIVER PKWYMILWAUKEE WI 53222(414) 257-0903 DOROTHY LUMPKINCounty: MILWAUKEE
HOMES FOR INDEPENDENT LIVING OF WI LLC
1249 RUSSETT COURTGREEN BAY WI 54313
Type: Class:
Low/High rate:
CBRF(262) 569-5515LYNN MATZKE
CNA
6,170/6,170M/F - 7
DEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 1/1/2002
HIL MENOMONEE RIVER (0009703)
6/30/2020License Renewal Fee Due*:
6609 NORTH 53RD STREETMILWAUKEE WI 53224(414) 406-3294 APRIL JUETTCounty: MILWAUKEE
HOMES OF HOPE LLC
PO BOX 16177MILWAUKEE WI 53216
Type: Class:
Low/High rate:
CBRF(414) 406-3294APRIL JUETT
CNA
3,875/5,500M/F - 5
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILL
Gender - Capacity:
Initial License: 8/2/2013
HOMES OF HOPE LLC (0014586)
7/31/2020License Renewal Fee Due*:
2956 S 60TH STMILWAUKEE WI 53219(414) 327-6374 TIM MCGUIRECounty: MILWAUKEE
MCFI dba WHOLE CLINICAL HEALTH GROUP
932 S 60TH STMILWAUKEE WI 53214
Type: Class:
Low/High rate:
CBRF(414) 476-9631TIM MCGUIRE
AS
4,979/4,979M/F - 15
EMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 7/28/2014
JACKSON HOUSE (0015156)
7/31/2020License Renewal Fee Due*:
8030 W APPLETON AVEMILWAUKEE WI 53218(414) 270-1970 DANIEL TAYLORCounty: MILWAUKEE
D TAYLOR PROPERTIES LLC
PO BOX 511325MILWAUKEE WI 53203
Type: Class:
Low/High rate:
CBRF(414) 270-1970DANIEL TAYLOR
CNA
3,300/4,300M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 12/8/2014
JC VILLA ONE (0015286)
5/31/2020License Renewal Fee Due*:
8040 W APPLETON AVENUEMILWAUKEE WI 53218(414) 270-1970 DANIEL TAYLORCounty: MILWAUKEE
D TAYLOR PROPERTIES LLC
PO BOX 511325MILWAUKEE WI 53203
Type: Class:
Low/High rate:
CBRF(414) 688-7272DANIEL TAYLOR
CNA
3,300/4,300M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 12/8/2014
JC VILLA TWO (0015287)
5/31/2020License Renewal Fee Due*:
5427 W VILLARD AVENUEMILWAUKEE WI 53218(414) 536-3530 PATRICIA FAULHABERCounty: MILWAUKEE
GENESIS BEHAVIORAL SERVICES INC
6737 W WASHINGTON ST #2210WEST ALLIS WI 53214
Type: Class:
Low/High rate:
CBRF(414) 791-9000PATRICIA FAULHABER
AA
2,615/2,950F - 24
ALCOHOL/DRUG DEPENDENT
Gender - Capacity:
Initial License: 10/31/1998
JEANNETTA ROBINSON HOUSE (310701)
10/31/2019License Renewal Fee Due*:
8717 W PALMETTO AVEMILWAUKEE WI 53225(414) 688-7272 DANIEL TAYLORCounty: MILWAUKEE
JEFFERSON CREST LLC
P O BOX 511325MILWAUKEE WI 53203
Type: Class:
Low/High rate:
CBRF(414) 688-7272DANIEL TAYLOR
CA
1,700/3,000M/F - 5
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 3/29/2007
JEFFERSON CREST III YELLOW ROSE (0011678)
9/30/2019License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 15
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
2404 N 50TH STMILWAUKEE WI 53210(414) 442-3700 ARTIS LANDONCounty: MILWAUKEE
WISCONSIN COMMUNITY SERVICES INC
3732 W WISCONSIN AVE SUITE 200MILWAUKEE WI 53208
Type: Class:
Low/High rate:
CBRF(414) 271-2512CLARENCE JOHNSON
AA
2,112/2,640M - 36
CORRECTIONAL CLIENTS
Gender - Capacity:
Initial License: 2/14/1994
JOSHUA GLOVER HOUSE (310186)
2/28/2020License Renewal Fee Due*:
6188 N 122ND STMILWAUKEE WI 53225(414) 358-5071 KIM BEQUESTCounty: MILWAUKEE
DUNGARVIN WISCONSIN LLC
10425 W NORTH AVE STE 330WAUWATOSA WI 53226
Type: Class:
Low/High rate:
CBRF(414) 443-1311KIM BEQUEST
CNA
31,937/31,937M/F - 6
DEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 6/15/2012
LYNX (0014191)
5/31/2019License Renewal Fee Due*:
8919 N MICHELE STMILWAUKEE WI 53224(414) 355-2121 CHARLOTTE WILLIAMSCounty: MILWAUKEE
FRONTIDA INC
PO BOX 580254PLEASANT PRAIRIE WI 53158
Type: Class:
Low/High rate:
CBRF(262) 925-9302CARIN SCHULTZ
CS
3,000/4,600M/F - 20
ADVANCED AGEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 4/1/2009
MAGNOLIA HOUSE (0012694)
8/31/2020License Renewal Fee Due*:
3018 S 9TH STMILWAUKEE WI 53215(414) 483-0156 JULIA WARZYNSKICounty: MILWAUKEE
PHOENIX CARE SYSTEMS INC
5555 N 51ST ST BLVDMILWAUKEE WI 53218
Type: Class:
Low/High rate:
CBRF(414) 527-6970JULIA WARZYNSKI
AAM/F - 8
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 12/10/2012
MANITOBA GROUP HOME (0014252)
10/31/2019License Renewal Fee Due*:
4567 N 71ST STREETMILWAUKEE WI 53218(414) 464-0155 DEBORAH A CROWLEYCounty: MILWAUKEE
AD2LUV LLC
W257 S5208 WOOD LILLY LANEWAUKESHA WI 53189
Type: Class:
Low/High rate:
CBRF(414) 873-0515UNDRAYE HOWARD
CS
3,058/3,850M/F - 8
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 1/7/2007
MARANATHA HOUSE GLENDALE (0011513)
3/31/2019License Renewal Fee Due*:
7901 W POTOMAC AVEMILWAUKEE WI 53222(414) 210-5115 UNDRAYE HOWARDCounty: MILWAUKEE
AD 2 LUV LLC
W257 S5208 WOOD LILLY LANEWAUKESHA WI 53189
Type: Class:
Low/High rate:
CBRF(414) 617-8144UNDRAYE HOWARD
CNA
5,000/14,000M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 2/2/2017
MARANATHA HOUSE POTOMAC (0016332)
1/31/2020License Renewal Fee Due*:
6811 N TACOMA STMILWAUKEE WI 53224-4748(414) 446-8448 DEBORAH CROWLEYCounty: MILWAUKEE
AD2LUV LLC
W257 S5208 WOOD LILLY LANEWAUKESHA WI 53189
Type: Class:
Low/High rate:
CBRF(414) 873-0515UNDRAYE HOWARD
CA
3,646/3,846M/F - 5
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'STRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 2/7/2008
MARANATHA HOUSE TACOMA (THE) (0012162)
1/31/2019License Renewal Fee Due*:
2613 W NORTH AVEMILWAUKEE WI 53205(414) 342-5474 ANTONIO DESHAZORCounty: MILWAUKEE
MATT TALBOT RECOVERY SERVICES INC
P O BOX 20007GREENFIELD WI 53220
Type: Class:
Low/High rate:
CBRF(414) 342-5474MATT TALBOT RECOVERY SERVICES INC
AA
2,418/2,790M - 26
ALCOHOL/DRUG DEPENDENTCORRECTIONAL CLIENTSEMOTIONALLY DISTURBED/MENTALILLNESSPUBLIC FUNDING
Gender - Capacity:
Initial License: 12/1/1986
MATT TALBOT RECOVERY CENTER (310016)
11/30/2018License Renewal Fee Due*:
2618 N BREMEN STMILWAUKEE WI 53212(414) 962-1200 CHRISTINE A ULLSTRUPCounty: MILWAUKEE
META HOUSE INC
2625 N WEIL STMILWAUKEE WI 53212
Type: Class:
Low/High rate:
CBRF(414) 962-1200AMY LINDNER
AA
3,735/4,650M/F - 15
ALCOHOL/DRUG DEPENDENTPUBLIC FUNDING
Gender - Capacity:
Initial License: 5/15/1998
META HOUSE (310697)
11/30/2018License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 16
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
2626 N BREMEN STMILWAUKEE WI 53212(414) 962-1200 CHRISTINE ULLSTRUPCounty: MILWAUKEE
META HOUSE INC
2625 N WEIL STREETMILWAUKEE WI 53212
Type: Class:
Low/High rate:
CBRF(414) 962-1200CHRISTINE ULLSTRUP
AA
3,486/7,750F - 20
ALCOHOL/DRUG DEPENDENTPUBLIC FUNDING
Gender - Capacity:
Initial License: 4/1/1988
META HOUSE RIVERWEST CAMPUS NORTH (310044)
6/30/2020License Renewal Fee Due*:
2330 NORTH PROSPECT AVENUEMILWAUKEE WI 53211(414) 220-4610 THERESA OWENSCounty: MILWAUKEE
MILWAUKEE CATHOLIC HOME
2330 NORTH PROSPECT AVENUEMILWAUKEE WI 53211
Type: Class:
Low/High rate:
CBRF() -PATRICK SHAUGHNESSY
CNA
4,950/5,600M/F - 27
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 10/21/2014
MILWAUKEE CATHOLIC HOME (0014598)
10/31/2019License Renewal Fee Due*:
3749 3751 S 80TH STREETMILWAUKEE WI 53220(414) 327-5121 TIM MCGUIRECounty: MILWAUKEE
MCFI dba WHOLE HEALTH CLINICAL GROUP
932 S 60TH STREETMILWAUKEE WI 53214
Type: Class:
Low/High rate:
CBRF(414) 476-9631TIM MCGUIRE
AA
3,876/3,876F - 8
EMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 8/5/2014
MORGAN HOUSE (0015064)
7/31/2020License Renewal Fee Due*:
5255 SOUTH 18TH STREETMILWAUKEE WI 53221
DOUG SVEDACounty: MILWAUKEE
NEXT STEP IN RESIDENTIAL SERVICES, LLC
PO BOX 14185WEST ALLIS WI 53214
Type: Class:
Low/High rate:
CBRF(262) 784-1840DOUG SVEDA
CNA
5,313/5,313M/F - 5
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 6/18/2013
NEXT STEP IN RESIDENTIAL SERVICES EDGERTON (00145
6/30/2020License Renewal Fee Due*:
2524 W RAMSEY AVEMILWAUKEE WI 53221(414) 322-9939 DOUG SVEDACounty: MILWAUKEE
NEXT STEP IN RESIDENTIAL SERVICES LLC
PO BOX 14185WEST ALLIS WI 53214
Type: Class:
Low/High rate:
CBRF(262) 784-1840DOUG SVEDA
CNA
3,968/4,492M/F - 6
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 5/1/2019
NEXT STEP IN RESIDENTIAL SERVICES RAMSEY (0016600)
4/30/2020License Renewal Fee Due*:
3245 S 24TH STMILWAUKEE WI 53215(414) 671-6965 JULIA WARZYNSKICounty: MILWAUKEE
PHOENIX CARE SYSTEMS INC
5555 N 51ST BLVDMILWAUKEE WI 53218
Type: Class:
Low/High rate:
CBRF(414) 527-6970JULIA WARZYNSKI
AA
38,263/38,263M/F - 8
EMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 5/1/2009
OKLAHOMA GROUP HOME (0012672)
4/30/2020License Renewal Fee Due*:
2780 N MENOMONEE RIVER PKWYMILWAUKEE WI 53222(414) 771-7326 Robert SchonerCounty: MILWAUKEE
MILOUDI INC
W274 S4025 TIMBER TRAILWAUKESHA WI 53189
Type: Class:
Low/High rate:
CBRF(262) 271-0993SAM HASSAN LAHRACHE
AS
3,000/3,300M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 7/1/2009
PARKWAY HOUSE (0012752)
2/28/2020License Renewal Fee Due*:
2930 N 25TH STMILWAUKEE WI 53206(414) 445-3301 ARTIS LANDONCounty: MILWAUKEE
WISCONSIN COMMUNITY SERVICES INC
3732 W WISCONSIN AVE SUITE 320MILWAUKEE WI 53208
Type: Class:
Low/High rate:
CBRF(414) 290-0400ARTIS LANDON
AA
0/2,708M/F - 40
CORRECTIONAL CLIENTS
Gender - Capacity:
Initial License: 5/24/1983
PARSONS HOUSE (310022)
6/30/2020License Renewal Fee Due*:
6477 N 91ST STMILWAUKEE WI 53224(414) 353-4441 DONNA VORPAGELCounty: MILWAUKEE
PEACE RESIDENTIAL HOME INC
6477 N 91ST STMILWAUKEE WI 53224
Type: Class:
Low/High rate:
CBRF(414) 353-4441DONNA VORPAGEL
CNA
2,184/2,586M/F - 8
DEVELOPMENTALLY DISABLED
Gender - Capacity:
Initial License: 1/10/1995
PEACE RESIDENTIAL HOME (310223)
1/31/2019License Renewal Fee Due*:
2624 N 16TH STMILWAUKEE WI 53206(414) 265-8181 VERDELLA HARVEYCounty: MILWAUKEE
PRESTIGIOUS ACADEMY INC
PO BOX 6468MILWAUKEE WI 53206
Type: Class:
Low/High rate:
CBRF(414) 265-8181VERDELLA HARVEY
AA
3,600/4,200M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPUBLIC FUNDING
Gender - Capacity:
Initial License: 1/5/2005
PRESTIGIOUS ACADEMY INC (0010546)
6/30/2019License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 17
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
2628 N 16TH STMILWAUKEE WI 53206(414) 265-8181 VERDELLA HARVEYCounty: MILWAUKEE
PRESTIGIOUS ACADEMY INC
PO BOX 6468MILWAUKEE WI 53209
Type: Class:
Low/High rate:
CBRF(414) 247-9444VERDELLA HARVEY
AA
2,750/3,750M/F - 8
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 8/4/2008
PRESTIGIOUS ACADEMY INC II (0011926)
2/28/2019License Renewal Fee Due*:
3910 3910A W BURLEIGH STMILWAUKEE WI 53210(414) 445-3607 SHIRLEY GLADNEYCounty: MILWAUKEE
SHIRLEY GLADNEY
3910 W BURLEIGH STMILWAUKEE WI 53210
Type: Class:
Low/High rate:
CBRF(414) 462-0802SHIRLEY GLADNEY
AA
3,500/4,000M/F - 7
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPUBLIC FUNDING
Gender - Capacity:
Initial License: 4/5/2002
PRIMROSE RESIDENTIAL FACILITY (0009366)
4/30/2019License Renewal Fee Due*:
1628 N 19TH STMILWAUKEE WI 53205(414) 342-9324 JOANN HARRISCounty: MILWAUKEE
RESIDENTIAL LIVING SERVICES INC
PO BOX 05613MILWAUKEE WI 53205
Type: Class:
Low/High rate:
CBRF(414) 345-8243JOANN HARRIS
CA
3,300/3,300M/F - 7
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 9/15/1994
RESIDENTIAL LIVING SERVICES (310204)
9/30/2019License Renewal Fee Due*:
1624 N 19TH STMILWAUKEE WI 53205(414) 345-8243 JOANN HARRISCounty: MILWAUKEE
RESIDENTIAL LIVING SERVICES INC
PO BOX 05613MILWAUKEE WI 53205
Type: Class:
Low/High rate:
CBRF(414) 933-3929JOANN HARRIS
CNA
3,300/3,300M/F - 7
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 3/3/1998
RESIDENTIAL LIVING SERVICES II (310271)
9/30/2019License Renewal Fee Due*:
9215 W SILVER SPRING DRMILWAUKEE WI 53225(414) 464-0557 BRIDGETTE GUYCounty: MILWAUKEE
SILVER VIEW LLC
9215 W. SILVER SPRING DRIVEMILWAUKEE WI 53225
Type: Class:
Low/High rate:
CBRF(262) 989-5382MARY FILLER
CNA
2,800/3,700M/F - 23
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 4/8/2009
SILVER VIEW LLC (0012742)
7/31/2019License Renewal Fee Due*:
3800 N 92ND STMILWAUKEE WI 53222(414) 463-7570 PAMELA SOMERSCounty: MILWAUKEE
ST ANNES HOME FOR THE ELDERLY MILWAUKE
3800 N 92ND STMILWAUKEE WI 53222
Type: Class:
Low/High rate:
CBRF(414) 463-7570LYNN VOGT
CNA
4,100/6,000M/F - 55
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 3/31/2009
ST ANNES HOME FOR THE ELDERLY CBRF (0012345)
3/31/2019License Renewal Fee Due*:
3800 N 92ND STREETMILWAUKEE WI 53222(414) 463-7570 LYNN M VOGTCounty: MILWAUKEE
ST ANNES HOME FOR THE ELDERLY MILW INC
3800 N 92ND STREETMILWAUKEE WI 53222
Type: Class:
Low/High rate:
CBRF(414) 463-7570LYNN VOGT
CNA
3,300/5,200M/F - 28
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILL
Gender - Capacity:
Initial License: 9/28/2015
ST ANNES MISSION COURT CBRF (0015711)
8/31/2018License Renewal Fee Due*:
5605 W CUSTER AVEMILWAUKEE WI 53218(414) 466-6664 FOLAKE ROSE ADENIYICounty: MILWAUKEE
TRINITY HEALTH CARE INC
5605 W CUSTER AVEMILWAUKEE WI 53218
Type: Class:
Low/High rate:
CBRF(414) 466-6664FOLAKE ROSE ADENIYI
CNA
3,151/3,900F - 6
ADVANCED AGEDDEVELOPMENTALLY DISABLEDPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 1/23/2002
TRINITY HEALTH CARE INC (0009472)
1/31/2019License Renewal Fee Due*:
1123 SOUTH 6TH STREETMILWAUKEE WI 53204(414) 643-8530 JUAN RUIZCounty: MILWAUKEE
UNITED COMMUNITY CENTER, INC
1028 S 9TH STREETMILWAUKEE WI 53204
Type: Class:
Low/High rate:
CBRF(414) 384-3100JUAN RUIZ
AA
4,540F - 16
ALCOHOL/DRUG DEPENDENT
Gender - Capacity:
Initial License: 1/31/2014
UCC LATINAS UNIDAS (0014682)
1/31/2019License Renewal Fee Due*:
429 WEST UNCAS AVENUEMILWAUKEE WI 53207(414) 301-5733 ANTONEO DESHAZORCounty: MILWAUKEE
MATT TALBOT RECOVERY SERVICES INC
PO BOX 20007GREENFIELD WI 53220-0007
Type: Class:
Low/High rate:
CBRF(414) 376-5577KARL RAJANI
CNA
600/18,000M - 8
EMOTIONALLY DISTURBED/MENTALILLNESSPUBLIC FUNDING
Gender - Capacity:
Initial License: 12/28/2015
UNCAS HOUSE (0015900)
12/31/2019License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 18
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
604 W SCOTT STMILWAUKEE WI 53204(414) 643-8530 JUAN RUIZCounty: MILWAUKEE
UNITED COMMUNITY CENTER INC
1028 S 9TH STMILWAUKEE WI 53204
Type: Class:
Low/High rate:
CBRF(414) 384-3100JUAN A. RUIZ
AA
4,440/4,440M - 15
ALCOHOL/DRUG DEPENDENTPUBLIC FUNDING
Gender - Capacity:
Initial License: 8/13/2009
UNITED COMMUNITY CENTER ART 1 (0012894)
7/31/2020License Renewal Fee Due*:
614 W SCOTT STMILWAUKEE WI 53204(414) 643-8530 JUAN RUIZCounty: MILWAUKEE
UNITED COMMUNITY CENTER
1028 S 9TH STMILWAUKEE WI 53204
Type: Class:
Low/High rate:
CBRF(414) 384-3100JUAN RUIZ
AA
146/250F - 16
ALCOHOL/DRUG DEPENDENT
Gender - Capacity:
Initial License: 4/27/2017
UNITED COMMUNITY CENTER LATINAS UNIDAS 2 (0016573
4/30/2019License Renewal Fee Due*:
1910 W OHIO AVEMILWAUKEE WI 53215(414) 649-2888 ANTHONY LODUCACounty: MILWAUKEE
VILLA ST FRANCIS INC
1910 W OHIO AVEMILWAUKEE WI 53215
Type: Class:
Low/High rate:
CBRF(414) 649-2888ANTHONY LODUCA
CNA
3,236/6,335M/F - 134
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 10/18/1990
VILLA ST FRANCIS (310120)
10/31/2019License Renewal Fee Due*:
5409 VILLARD AVENUEMILWAUKEE WI 53225(414) 476-9675 JOHN CHIANELLICounty: MILWAUKEE
MCFI dba WHOLE CLINICAL HEALTH GROUP
932 S 60TH STREETMILWAUKEE WI 53214
Type: Class:
Low/High rate:
CBRF(414) 476-9631JOHN CHIANELLI
AA
13,500/13,500M/F - 12
ALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 8/11/2014
VILLARD CRC (0015017)
7/31/2020License Renewal Fee Due*:
7716 W WABASH CTMILWAUKEE WI 53224(414) 354-8408 TINA GATZOWCounty: MILWAUKEE
FRONTIDA INC
PO BOX 580254PLEASANT PRAIRIE WI 53158
Type: Class:
Low/High rate:
CBRF(262) 925-9302CARIN SCHULTZ
AS
2,600/3,800M/F - 20
ADVANCED AGEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 4/1/2009
WABASH HOME (0012695)
9/30/2018License Renewal Fee Due*:
1506 1510 N 48TH STMILWAUKEE WI 53208(262) 389-1461 RAKESH/SHANNON PATELCounty: MILWAUKEE
WORLDWIDE ESTATE INC
PO BOX 601BUTLER WI 53007
Type: Class:
Low/High rate:
CBRF(262) 389-1461RAKESH PATEL
AA
3,200/7,500M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 3/30/2009
WASHINGTON HEIGHTS MANOR (0012706)
3/31/2020License Renewal Fee Due*:
10620 W GREENWOOD TERRACEMILWAUKEE WI 53224(262) 389-1461 RAKESH PATELCounty: MILWAUKEE
WORLDWIDE ESTATE INC
12420 HAMPTON AVE APT 601BUTLER WI 53007
Type: Class:
Low/High rate:
CBRF(262) 389-1461RAKESH PATEL
AA
3,000/8,000M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'STRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 8/15/2017
WASHINGTON HEIGHTS MANOR II (0016797)
7/31/2019License Renewal Fee Due*:
3959 3961 S 51ST STMILWAUKEE WI 53220(414) 321-9447 JULIA WARZYNSKICounty: MILWAUKEE
PHOENIX CARE SYSTEMS INC
5555 N 51 ST BLVDMILWAUKEE WI 53218
Type: Class:
Low/High rate:
CBRF(414) 527-6970JULIA WARZYNSKI
CA
4,504/4,504M/F - 8
DEVELOPMENTALLY DISABLED
Gender - Capacity:
Initial License: 5/1/1992
WILLOWGLEN ACADEMY HOWARD HOUSE (310672)
9/30/2019License Renewal Fee Due*:
9035 N 97TH STMILWAUKEE WI 53224(262) 345-5579 BRYAN POLINSKECounty: MILWAUKEE
WISCONSIN LUTHERAN CHILD & FAM SER INC
9035 N 97TH STMILWAUKEE WI 53224
Type: Class:
Low/High rate:
CBRF(262) 345-5530BRYAN POLINSKE
CNA
4,700/7,200M/F - 28
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 8/1/1997
WISCONSIN LUTHERAN LIVING CENTER (310630)
2/28/2020License Renewal Fee Due*:
10320 S HUMMINGBIRD LNOAK CREEK WI 53154(414) 762-3763 SCOTT CHAPPELLCounty: MILWAUKEE
AUBERRY HOUSE INC
10320 S HUMMINGBIRD LNOAK CREEK WI 53154
Type: Class:
Low/High rate:
CBRF(414) 762-3763SCOTT CHAPPELL
CNA
3,000/3,600M/F - 8
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 10/15/2003
AUBERRY HOUSE INC (0010167)
4/30/2020License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 19
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
8035 S CECILY DRIVEOAK CREEK WI 53154
BRIAN SCHOENLEBERCounty: MILWAUKEE
AUTUMN CREEK CQS, LLC
8035 S CECILY DRIVEOAK CREEK WI 53154
Type: Class:
Low/High rate:
CBRF(414) 397-4176BRIAN SCHOENLEBER
CS
2,900/3,500M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 12/18/2013
AUTUMN CREEK CQS LLC (0014863)
11/30/2018License Renewal Fee Due*:
1326 WILLOW DROAK CREEK WI 53154(414) 397-4176 BRIAN SCHOENLEBERCounty: MILWAUKEE
AUTUMN CREEK II CQS LLC
5300 S 108 ST STE 2HALES CORNERS WI 53130
Type: Class:
Low/High rate:
CBRF(414) 397-4176BRIAN SCHOENLEBER
ANAM/F - 20
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 10/13/2016
AUTUMN CREEK II CQS LLC (0016326)
9/30/2019License Renewal Fee Due*:
1110 W OAKWOOD RDOAK CREEK WI 53154(414) 766-0915 BETH DESAICounty: MILWAUKEE
AUTUMN OAKES INC
1110 W OAKWOOD RDOAK CREEK WI 53154
Type: Class:
Low/High rate:
CBRF(262) 498-3098BETH DESAI
CNA
3,400/3,800M/F - 8
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 9/22/2014
AUTUMN OAKES (0015228)
9/30/2019License Renewal Fee Due*:
8772 S MAYHEW DROAK CREEK WI 53154
EMILY DANGELOCounty: MILWAUKEE
AZURA OAK CREEK LLC
1233 MAYFAIR RD STE 301MILWAUKEE WI 53226
Type: Class:
Low/High rate:
CBRF(303) 909-4081JILL KREIDER
CNA
4,600/8,550M/F - 24
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 7/27/2017
AZURA MEMORY CARE OF OAK CREEK (0016675)
7/31/2020License Renewal Fee Due*:
8774 S MAYHEW DROAK CREEK WI 53154
EMILY DANGELOCounty: MILWAUKEE
AZURA OAK CREEK II LLC
1233 MAYFAIR RD STE 301MILWAUKEE WI 53226
Type: Class:
Low/High rate:
CBRF(303) 909-4081JILL KREIDER
CNA
4,600/8,550M/F - 24
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 9/20/2017
AZURA MEMORY CARE OF OAK CREEK II (0016676)
9/30/2018License Renewal Fee Due*:
10507 S CHICAGO AVEOAK CREEK WI 53154(414) 764-3303 JAMIE HAGENCounty: MILWAUKEE
GOLDEN OAK CREST LLC
18110 W BLUEMOUND ROAD #4 LWRBROOKFIELD WI 53045
Type: Class:
Low/High rate:
CBRF(414) 764-3303JOHN TERESINSKI
CNA
3,000/4,600M/F - 50
ADVANCED AGEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 8/29/2006
COUNTRY VIEW (0011567)
12/31/2019License Renewal Fee Due*:
8841 S 13TH STOAK CREEK WI 53154(414) 764-1970 WENDY SIEVERTCounty: MILWAUKEE
CARING ALTERNATIVES LLC
PO BOX 308OAK CREEK WI 53154
Type: Class:
Low/High rate:
CBRF(414) 305-9533WENDY SIEVERT
CNA
3,400/4,950M/F - 23
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 6/17/2009
CREEK SIDE MANOR (0012788)
6/30/2020License Renewal Fee Due*:
8861 S 13TH STOAK CREEK WI 53154(414) 856-9300 WENDY SIEVERTCounty: MILWAUKEE
CARING ALTERNATIVES LLC
656 NEWPORT CIRCLELINDENHURST IL 60046
Type: Class:
Low/High rate:
CBRF(414) 305-9533WENDY SIEVERT
CNA
3,400/4,950M/F - 29
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 12/12/2011
CREEK SIDE TERRACE (0013958)
11/30/2018License Renewal Fee Due*:
10441 S NICHOLSON RDOAK CREEK WI 53154(414) 762-5118 RICHARD COURYCounty: MILWAUKEE
6340 N GREEN BAY AVEGLENDALE WI 53209
Type: Class:
Low/High rate:
CBRF(414) 540-4141RICHARD COURY
CNA
4,000/6,000M/F - 20
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 3/16/2011
ELIZABETH RESIDENCE OAK CREEK (0013620)
2/28/2020License Renewal Fee Due*:
6606 S CRANE DRIVEOAK CREEK WI 53154(414) 762-5123 DANIELLE MOREYCounty: MILWAUKEE
LIVE TO SERVE LLC
6801 BOBOLINK ROADRACINE WI 53402
Type: Class:
Low/High rate:
CBRF(309) 368-1825DANIELLE MOREY
AS
3,400/3,600M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 1/3/2014
IVY TERRACE (0014857)
12/31/2018License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 20
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
7550 S 13TH STOAK CREEK WI 53154(414) 768-8889 ROTH WEAVERCounty: MILWAUKEE
MATTHEWS SENIOR HOUSING LLC
700 N GREEN ST UNIT 401CHICAGO IL 60642
Type: Class:
Low/High rate:
CBRF(312) 623-0884THOMAS OSTROM
CNA
4,020/7,000M/F - 20
ADVANCED AGEDDEVELOPMENTALLY DISABLEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 6/15/2012
MATTHEWS OF OAK CREEK (0014183)
5/31/2019License Renewal Fee Due*:
8740 S OAK PARK DROAK CREEK WI 53154(414) 766-2100 KATIE CAVAZOSCounty: MILWAUKEE
FIVE STAR QUALITY CARE WI LLC
701 E PUETZ RDOAK CREEK WI 53154
Type: Class:
Low/High rate:
CBRF(617) 796-8387MICHAEL BANGS
CNA
5,148/5,658M/F - 24
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILL
Gender - Capacity:
Initial License: 1/18/2008
MITCHELL MANOR OAK CREEK (0012247)
1/31/2020License Renewal Fee Due*:
1111 E CAPITOL DRSHOREWOOD WI 53211(414) 436-0311 DONNA ADLINGTONCounty: MILWAUKEE
CHP SHOREWOOD WI TENANT CORP
1111 E CAPITOL DRSHOREWOOD WI 53211
Type: Class:
Low/High rate:
CBRF(407) 650-1000CATHLEEN OBRIEN
CNA
5,795/7,495M/F - 41
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 12/8/2015
HARBORCHASE OF SHOREWOOD (0015906)
11/30/2018License Renewal Fee Due*:
3924 3926 N MARYLAND AVESHOREWOOD WI 53211(414) 962-1200 CHRISTINE ULLSTRUPCounty: MILWAUKEE
META HOUSE INC
2625 N WEIL STREETMILWAUKEE WI 53212-0000
Type: Class:
Low/High rate:
CBRF(414) 962-1200AMY LINDNER
AA
6,000/20,000F - 8
ALCOHOL/DRUG DEPENDENT
Gender - Capacity:
Initial License: 11/30/1984
META HOUSE III (310026)
6/30/2019License Renewal Fee Due*:
3601 S CHICAGO AVESOUTH MILWAUKEE WI 53172(414) 764-4100 MARK MULLAHYCounty: MILWAUKEE
CHI LIVING COMMUNITIES
5000 PROVIDENCE DRIVESANDUSKY OH 44870
Type: Class:
Low/High rate:
CBRF(419) 357-2877WENDY DOLYK
CNA
5,897/6,154M/F - 64
IRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 8/14/2017
FRANCIS HOUSE (0016783)
7/31/2020License Renewal Fee Due*:
1000 WILLIAMS AVESOUTH MILWAUKEE WI 53172(414) 764-4100 MARK MULLAHYCounty: MILWAUKEE
CHI LIVING COMMUNITIES
5000 PROVIDENCE DRIVESANDUSKY OH 44870
Type: Class:
Low/High rate:
CBRF(419) 357-2877WENDY DOLYK
CNA
6,000/6,309M/F - 60
IRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 8/14/2017
FRANCISCAN GARDENS (0016782)
7/31/2020License Renewal Fee Due*:
3829 S CHICAGO AVESOUTH MILWAUKEE WI 53172(414) 762-3838 BRITTANY ACETOCounty: MILWAUKEE
CREST AID OPCO LLC
330 N. Wabash Ave., Ste. 3700Chicago IL 60611
Type: Class:
Low/High rate:
CBRF(415) 995-5135Attn: POC/Legal Dept
CNA
2,766/5,791M/F - 75
ADVANCED AGEDPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 7/11/2013
OAK CREEK PLACE (0014654)
6/30/2020License Renewal Fee Due*:
3407 BLAKEWOOD AVESOUTH MILWAUKEE WI 53172(414) 427-0744 MICHELLE RINGWOLSKICounty: MILWAUKEE
VILLA OF GREENFIELD LLC
8765 W FOREST HOME AVEGREENFIELD WI 53228
Type: Class:
Low/High rate:
CBRF(414) 427-0744TIMOTHY GLOWINSKI
CNA
3,000/5,000M/F - 8
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 5/2/2017
OAK CREST BLAKEWOOD HOME (0016631)
4/30/2020License Renewal Fee Due*:
1009 NICHOLSON AVESOUTH MILWAUKEE WI 53172(414) 768-5554 DEBBIE GEERCounty: MILWAUKEE
REM WISCONSIN II INC
2005 W BELTLINE HIGHWAY #203MADISON WI 53713
Type: Class:
Low/High rate:
CBRF(608) 276-1191SHELLEY HANSEN BLAKE
CNA
5,945/5,945M/F - 6
DEVELOPMENTALLY DISABLEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 12/26/2003
REM WISCONSIN II INC NICHOLSON (0010403)
6/30/2020License Renewal Fee Due*:
812 MARQUETTE AVENUESOUTH MILWAUKEE WI 53172(414) 762-2511 KRISTIN BUCEKCounty: MILWAUKEE
SOUTH MILWAUKEE COMMUNITY LIVING CENTE
22218 W 7 MILE ROADFRANKSVILLE WI 53126
Type: Class:
Low/High rate:
CBRF(414) 208-6678KRISTIN BUCEK
CS
3,500/3,600M/F - 27
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 10/1/2014
ST JOHNS MANOR (0015176)
9/30/2019License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 21
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
1313 MISSOURI AVENUESOUTH MILWAUKEE WI 53172(414) 762-8026 KRISTIN BUCEKCounty: MILWAUKEE
SOUTH MILWAUKEE COMMUNITY LIVING CENTE
22218 W 7 MILE ROADFRANKSVILLE WI 53126
Type: Class:
Low/High rate:
CBRF(414) 208-6678KRISTIN BUCEK
CNA
3,500/3,600M/F - 17
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 10/1/2014
ST MARYS MANOR (0015178)
9/30/2019License Renewal Fee Due*:
3660 E DENTON AVEST FRANCIS WI 53235-5951(414) 486-1008 MEREDITH HUMPHREYCounty: MILWAUKEE
MATTHEWS SENIOR HOUSING LLC
700 N GREEN ST. UNIT 401CHICAGO IL 60642
Type: Class:
Low/High rate:
CBRF(312) 623-0884THOMAS OSTROM
CNA
4,020/7,000M/F - 20
ADVANCED AGEDDEVELOPMENTALLY DISABLEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 6/15/2012
MATTHEWS OF SAINT FRANCIS I (0014180)
5/31/2019License Renewal Fee Due*:
3620 E DENTON AVEST FRANCIS WI 53235-5951(414) 744-2815 MEREDITH HUMPHREYCounty: MILWAUKEE
MATTHEWS SENIOR HOUSING LLC
700 N GREEN ST. UNIT 401CHICAGO IL 60642
Type: Class:
Low/High rate:
CBRF(312) 623-0884THOMAS OSTROM
CNA
4,020/7,000M/F - 20
ADVANCED AGEDDEVELOPMENTALLY DISABLEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 6/15/2012
MATTHEWS OF SAINT FRANCIS II (0014179)
5/31/2019License Renewal Fee Due*:
2354 N 120TH STREETWAUWATOSA WI 53226
MARJORIE GLEESONCounty: MILWAUKEE
ABUNDANT LIFE MINISTRY, INC
1904 EAST BELLEVIEW PLACEMILWAUKEE WI 53211
Type: Class:
Low/High rate:
CBRF(414) 962-3200MARJORIE GLEESON
CS
5,050/6,000M/F - 8
ADVANCED AGEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 7/1/2015
ABUNDANT LIFE MANOR WEST (0015578)
6/30/2020License Renewal Fee Due*:
9835 W ARGONNE DRWAUWATOSA WI 53222(414) 442-5077 KIM BEQUESTCounty: MILWAUKEE
DUNGARVIN WISCONSIN LLC
10425 W NORTH AVE SUITE 330WAUWATOSA WI 53226
Type: Class:
Low/High rate:
CBRF(414) 443-1311KIM BEQUEST
CNA
4,312/5,635F - 5
DEVELOPMENTALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 3/31/2006
ARGONNE (0011364)
3/31/2020License Renewal Fee Due*:
12231 W BLUEMOUND RDWAUWATOSA WI 53226(414) 302-9400 PATTI HANSBURGCounty: MILWAUKEE
CLOSE TO HOME SENIOR LIVING CENTER INC
2882 S 132ND STNEW BERLIN WI 53151
Type: Class:
Low/High rate:
CBRF(262) 370-8393PATTI HANSBURG
CNA
3,100/5,000M/F - 20
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 9/26/2006
BLUEMOUND HOME (0011541)
3/31/2019License Renewal Fee Due*:
530 N 103RD STWAUWATOSA WI 53226(414) 259-3702 BRANDON LUKECounty: MILWAUKEE
SAN CAMILLO INC
10101 W WISCONSIN AVEWAUWATOSA WI 53226
Type: Class:
Low/High rate:
CBRF(414) 258-1814BRANDON LUKE
CNA
6,865/9,455M/F - 42
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 8/17/1989
CAMILLUS COURT WEST (310109)
1/31/2020License Renewal Fee Due*:
1220 DEWEY AVE #11WAUWATOSA WI 53213(414) 454-6576 PETE CARLSONCounty: MILWAUKEE
AURORA PSYCHIATRIC HOSPITAL
1220 DEWEY AVE #1WAUWATOSA WI 53213
Type: Class:
Low/High rate:
CBRF(414) 454-6473PETE CARLSON
AS
18,500M/F - 30
ALCOHOL/DRUG DEPENDENT
Gender - Capacity:
Initial License: 7/23/2018
DEWEY CENTER OF AURORA PSYCHIATRIC HOSPITAL (00
7/31/2019License Renewal Fee Due*:
8220 W HARWOOD AVEWAUWATOSA WI 53213(414) 256-6800 KATHY CAVERSCounty: MILWAUKEE
HARWOOD PLACE INC
8220 W HARWOOD AVEWAUWATOSA WI 53213
Type: Class:
Low/High rate:
CBRF(414) 256-6800DYONNE WILHELM
CNA
4,900/7,125M/F - 32
ADVANCED AGEDPHYSICALLY DISABLEDTERMINALLY ILL
Gender - Capacity:
Initial License: 8/4/2003
HARWOOD PLACE ASSISTED LIVING (0009947)
2/28/2020License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 22
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
10212 W SUNSET AVEWAUWATOSA WI 53222(414) 461-0140 DOROTHY LUMPKINCounty: MILWAUKEE
HOMES FOR INDEPENDENT LIVING OF WI LLC
1249 RUSSETT COURTGREEN BAY WI 54313
Type: Class:
Low/High rate:
CBRF(262) 569-5515LYNN MATZKE
CNA
5,532/5,532M/F - 6
DEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 11/16/2005
HIL SUNSET HOME (0011194)
6/30/2020License Renewal Fee Due*:
2339 N 60TH STWAUWATOSA WI 53210(414) 778-1222 JOEL BECKCounty: MILWAUKEE
IRIS MANOR INC
2339 N 60TH STWAUWATOSA WI 53210
Type: Class:
Low/High rate:
CBRF(414) 778-1222JOEL BECK
AA
2,500/2,500M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 9/1/1992
IRIS MANOR (310155)
8/31/2019License Renewal Fee Due*:
4611 N 92ND STWAUWATOSA WI 53225(414) 464-3880 KENNETH STELPFLUGCounty: MILWAUKEE
UNITED LUTHERAN PROGRAM FOR THE AGING
4545 N 92ND STWAUWATOSA WI 53225
Type: Class:
Low/High rate:
CBRF(414) 464-3880KENNETH STELPFLUG
CNA
3,969/7,391M/F - 140
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 11/27/1981
LUTHER MANOR COURTYARDS (310087)
8/31/2019License Renewal Fee Due*:
7500 W NORTH AVEWAUWATOSA WI 53213(414) 258-6170 STEPHANIE LEANESCounty: MILWAUKEE
LUTHERAN HOME INC (THE)
7500 W NORTH AVEWAUWATOSA WI 53213
Type: Class:
Low/High rate:
CBRF(414) 258-6170STEPHANIE LEANES
CNA
5,465/6,315M/F - 40
IRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 6/1/2004
LUTHERAN HOME ASSISTED LIVING (0010582)
11/30/2018License Renewal Fee Due*:
1621 RIVERS BENDWAUWATOSA WI 53226(414) 292-0400 BASCHE CHADCounty: MILWAUKEE
OAK PARK PLACE OF WAUWATOSA LLC
719 JUPITER DRMADISON WI 53718
Type: Class:
Low/High rate:
CBRF(608) 663-8728SCOTT FRANK
CNA
5,148/6,120M/F - 75
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 11/26/2012
OAK PARK PLACE OF WAUWATOSA (0014395)
4/30/2020License Renewal Fee Due*:
2630 N 118TH STWAUWATOSA WI 53226(414) 258-6355 ROBERT SCHONERCounty: MILWAUKEE
MILOUDI INC
W274 S4025 TIMBER TRAILWAUKESHA WI 53189
Type: Class:
Low/High rate:
CBRF(262) 271-0993SAM HASSAN LAHRACHE
CS
3,000/3,300M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 7/1/2009
OAK RIDGE HOUSE (0012760)
6/30/2019License Renewal Fee Due*:
8454 RAVENSWOOD CIRCLEWAUWATOSA WI 53226(414) 443-0646 DAN HOECHERLCounty: MILWAUKEE
INDEPENDENT LIFESTYLES INC
4405 S DEERWOOD DRNEW BERLIN WI 53151
Type: Class:
Low/High rate:
CBRF(262) 782-6068DAN HOECHERL
CS
3,033/3,148M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 11/18/1996
RAVENSWOOD MANOR (310622)
5/31/2019License Renewal Fee Due*:
10101 W WISCONSIN AVEWAUWATOSA WI 53226(414) 258-1814 BRANDON LUKECounty: MILWAUKEE
SAN CAMILLO INC
10101 W WISCONSIN AVEWAUWATOSA WI 53226
Type: Class:
Low/High rate:
CBRF(414) 258-1814BRANDON LUKE
CNA
5,235/7,180M/F - 86
ADVANCED AGEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 1/12/2006
ST CAMILLUS (0011293)
6/30/2020License Renewal Fee Due*:
10201 W WISCONSIN AVEWAUWATOSA WI 53226(414) 258-1814 BRAND LUKECounty: MILWAUKEE
ST CAMILLUS HEALTH CENTER INC
10201 W WISCONSIN AVEWAUWATOSA WI 53226
Type: Class:
Low/High rate:
CBRF(414) 258-1814SANDRA DUGAN
CNA
6,905/9,390M/F - 65
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 2/16/2018
ST CAMILLUS MEMORY CARE NORTH RESIDENCE (001685
2/28/2019License Renewal Fee Due*:
2187 S 85TH STWEST ALLIS WI 53227(414) 321-5936 ANTONIO DESHAZORCounty: MILWAUKEE
MATT TALBOT RECOVERY SERVICES INC
P O BOX 20007GREENFIELD WI 53220
Type: Class:
Low/High rate:
CBRF(414) 342-5474KARL RAJANI
AA
2,550/3,565M/F - 8
ALCOHOL/DRUG DEPENDENTPUBLIC FUNDING
Gender - Capacity:
Initial License: 2/11/2011
2ND CENTURY (0013598)
2/28/2020License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 23
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
3468 S 119TH STWEST ALLIS WI 53227(414) 727-0822 CANDACE DAHLKECounty: MILWAUKEE
BRYANT HOMES LLC
12501 W NEEDHAM DRNEW BERLIN WI 53132
Type: Class:
Low/High rate:
CBRF(414) 241-7067CANDACE DAHLKE
CNA
0/3,333M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 1/1/2012
ANGELS HEARTH (0013961)
12/31/2019License Renewal Fee Due*:
2355 S 68TH STWEST ALLIS WI 53219(414) 329-8403 ANDREW ANSELMICounty: MILWAUKEE
BROTOLOC SOUTH INC
209 S TAFT STWHITEWATER WI 53190
Type: Class:
Low/High rate:
CBRF(262) 473-0480CHRISTOPHER COHEN
AA
5,414/5,735M/F - 6
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 2/5/2010
BROTOLOC WEST ALLIS (0013103)
1/31/2020License Renewal Fee Due*:
10521 W GREENFIELD AVENUEWEST ALLIS WI 53214(414) 259-8929 TIM MCGUIRECounty: MILWAUKEE
MCFI dba WHOLE CLINICAL HEALTH GROUP
932 S 60TH STREETMILWAUKEE WI 53214
Type: Class:
Low/High rate:
CBRF(414) 476-9631TIM MCGUIRE
AA
4,048/4,048M/F - 8
EMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 8/7/2014
GREENFIELD HOUSE (0015031)
7/31/2020License Renewal Fee Due*:
7801 W NATIONAL AVEWEST ALLIS WI 53214(414) 302-9700 MICHAEL DIETRICHCounty: MILWAUKEE
7901 W NATIONAL AVEWEST ALLIS WI 53214
Type: Class:
Low/High rate:
CBRF(952) 351-4542PIERRE VERGER
CNA
3,600/4,500M/F - 40
IRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 10/21/2009
HERITAGE WEST ALLIS HERITAGE 7 LLC (0012725)
10/31/2018License Renewal Fee Due*:
1467 S 75TH STWEST ALLIS WI 53214(414) 476-2928 JOE FUCHSCounty: MILWAUKEE
HILLCREST HOMES INC
12720 W LISBON RDBROOKFIELD WI 53005
Type: Class:
Low/High rate:
CBRF(414) 322-5437JOSEPH FUCHS
AS
2,000/2,200M/F - 8
DEVELOPMENTALLY DISABLED
Gender - Capacity:
Initial License: 5/12/1994
HILLCREST HOMES 75TH (310193)
5/31/2020License Renewal Fee Due*:
1665 SOUTH 64TH STREETWEST ALLIS WI 53214(414) 803-3497 VITALIY GORELIKCounty: MILWAUKEE
GOLDEN MILLENNIUM ENTERPRISES LLC
3701 W SHERBROOKE DRMEQUON WI 53092
Type: Class:
Low/High rate:
CBRF(414) 803-3497VITALIY GORELIK
CA
3,284/3,740M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 3/15/2016
INFINITY ASSISTED LIVING HOME (0015779)
3/31/2019License Renewal Fee Due*:
7400 W GREENFIELD AVEWEST ALLIS WI 53214(414) 476-3900 DAWN WILLERTCounty: MILWAUKEE
LL WEST ALLIS LLC
3630 ILLINOIS ROADFORT WAYNE IN 46804
Type: Class:
Low/High rate:
CBRF(260) 422-5511ROBERT PETRAS
CS
2,195/4,000M/F - 110
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 8/30/2013
LAMPLIGHT INN OF WEST ALLIS (0014738)
8/30/2018License Renewal Fee Due*:
2416 S 60TH STWEST ALLIS WI 53219(414) 803-3497 VITALIY GORELIKCounty: MILWAUKEE
GOLDEN MILLENNIUM ENTERPRISES LLC
3701 SHERBROOKE DRMEQUON WI 53092
Type: Class:
Low/High rate:
CBRF(414) 803-3497VITALIY GORELIK
CS
3,284/3,740M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPUBLIC FUNDING
Gender - Capacity:
Initial License: 12/7/2012
LINCOLN TERRACE GROUP HOME (0014399)
11/30/2019License Renewal Fee Due*:
2526 S 85TH STWEST ALLIS WI 53227(414) 543-0094 DEBORAH CROWLEYCounty: MILWAUKEE
AD2LUV LLC
W257 S5208 WOOD LILLY LANEWAUKESHA WI 53189
Type: Class:
Low/High rate:
CBRF(414) 873-0515UNDRAYE HOWARD
CA
3,966/4,200M/F - 6
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 3/31/2009
MARANATHA HOUSE SOUTH (THE) (0012681)
3/31/2020License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 24
08/22/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Community-Based Residential Facilities
5301 W LINCOLN AVEWEST ALLIS WI 53219(414) 615-7200 FRANCESCA LOCICEROCounty: MILWAUKEE
FIVE STAR QUALITY CARE WI LLC
5301 W LINCOLN AVEWEST ALLIS WI 53219
Type: Class:
Low/High rate:
CBRF(617) 796-8387FRANCESCA LOCICERO
CNA
4,344/5,265M/F - 70
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 1/18/2008
MITCHELL MANOR WEST ALLIS (0012245)
1/31/2020License Renewal Fee Due*:
2577 S 118TH STREETWEST ALLIS WI 53227(414) 541-4451 DOUG SVEDACounty: MILWAUKEE
NEXT STEP IN RESIDENTIAL SERVICES LLC
PO BOX 14185WEST ALLIS WI 53214
Type: Class:
Low/High rate:
CBRF(262) 784-1840DOUG SVEDA
CNA
4,188/4,774M/F - 6
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 5/9/2017
NEXT STEP IN RESIDENTIAL SERVICES WEST ALLIS (00165
4/30/2020License Renewal Fee Due*:
3309 S 112TH STREETWEST ALLIS WI 53227(414) 871-5643 TIM MCGUIRECounty: MILWAUKEE
MCFI dba WHOLE HEALTH CLINICAL GROUP
932 S 60TH STREETMILWAUKEE WI 53214
Type: Class:
Low/High rate:
CBRF(414) 476-9631TIM MCGUIRE
AA
5,460/5,460M - 8
EMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 7/28/2014
OHIO HOUSE (0015016)
7/31/2020License Renewal Fee Due*:
1217 S 118TH STWEST ALLIS WI 53214(414) 257-9030 DAWN KENNISONCounty: MILWAUKEE
DEK COMPANY INC
4473 NORTH 105TH STREETWAUWATOSA WI 53225
Type: Class:
Low/High rate:
CBRF(414) 364-4100DAWN E KENNISON
CS
3,393/3,394M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPUBLIC FUNDING
Gender - Capacity:
Initial License: 3/28/1994
RAINBOW PARK HOME (310189)
3/31/2020License Renewal Fee Due*:
3161 S 112TH STWEST ALLIS WI 53227(414) 321-5960 CANDACE DAHLKECounty: MILWAUKEE
BRYANT HOMES LLC
12501 W NEEDHAM DRIVENEW BERLIN WI 53132
Type: Class:
Low/High rate:
CBRF(414) 241-7067CANDACE DAHLKE
AA
3,700/3,752M/F - 8
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'STRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 3/11/2014
ROOT RIVER HAVEN (0014968)
2/28/2019License Renewal Fee Due*:
1234 S 112 StreetWest Allis WI 53214(414) 607-3776 KRISTOPHER KIEFERCounty: MILWAUKEE
Castle Senior Living Inc
10521 W Latyon Ave Suite 201Greenfield WI 53228
Type: Class:
Low/High rate:
CBRF(414) 607-3776Kristopher Kiefer
CNA
3,800/5,000M/F - 8
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 2/19/2015
Ruby Castle (0015522)
2/28/2019License Renewal Fee Due*:
2825 S WAUKESHA RDWEST ALLIS WI 53227(414) 321-7101 JOHN BECHERERCounty: MILWAUKEE
NORTH AMERICAN HEALTH CARE LLC
2825 S WAUKESHA RDWEST ALLIS WI 53227
Type: Class:
Low/High rate:
CBRF(414) 321-7101JOHN BECHERER
CS
2,550/3,500M/F - 20
ADVANCED AGEDEMOTIONALLY DISTURBED/MENTALILLNESSPUBLIC FUNDING
Gender - Capacity:
Initial License: 5/6/1999
TALL OAKS OF WEST ALLIS (0008617)
6/30/2019License Renewal Fee Due*:
3023 S 84TH STWEST ALLIS WI 53227(414) 607-4100 BETH TOOHILLCounty: MILWAUKEE
METHODIST MANOR INC
3023 S 84TH STWEST ALLIS WI 53227
Type: Class:
Low/High rate:
CBRF(414) 607-4100SUSAN BORKOWSKI
CNA
3,750/4,425M/F - 130
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDING
Gender - Capacity:
Initial License: 4/1/1980
VILLAGE AT MANOR PARK PALMER HOUSE (310053)
4/30/2020License Renewal Fee Due*:
*The Community Based Residential Facility (CBRF) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.