THE HERITAGE HOUSE ON 15TH LLC NPI 1902753262

NPI Information

  • NPI: 1902753262
  • Provider Name: THE HERITAGE HOUSE ON 15TH LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 4141 N 15TH ST
    MILWAUKEE, WI
    ZIP 53209
  • Phone: (414) 888-2712

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NPI Details

THE HERITAGE HOUSE ON 15TH LLC is an assisted living facility in Milwaukee, WI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. THE HERITAGE HOUSE ON 15TH LLC NPI is 1902753262. The provider is registered as an organization entity type.

The provider's business location address is:

4141 N 15TH ST
MILWAUKEE, WI
ZIP 53209-908
Phone: (414) 888-2712

The provider's authorized official is Jarvis Moore .
The authorized official title is Owner and has the following contact phone number (414) 888-2712.

The enumeration date for this NPI number is 3/14/2026 and was last updated on 3/14/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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