Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Divine Grace Adult Family Home LLC

Organization Alzheimer Center (Dementia Center) · NPI 1235084740

Divine Grace Adult Family Home LLC is an Alzheimer Center (Dementia Center) in Milwaukee, Wisconsin. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7727 W Glendale Ave
Milwaukee, WI 53218-5331
Phone: (414) 274-9935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Alzheimer Center (Dementia Center) (primary) Taxonomy 311500000X

Record details

NPI number1235084740
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maurice Jackson Sr — Owner · (414) 379-3001
NPI enumeratedMarch 2, 2026
Last updated in NPPESMarch 2, 2026
Certification dateMarch 1, 2026
Mailing address7727 W Glendale Ave, Milwaukee, WI 53218-5331

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