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

Genesis Adult Family Home LLC

Organization Nursing Care Agency · NPI 1831974955

Genesis Adult Family Home LLC is a Nursing Care Agency in Mequon, Wisconsin. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3315 W Burgundy Ct
Mequon, WI 53092-5202
Phone: (262) 853-1344
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Intermediate Care Facility (primary) Taxonomy 310500000X
Nursing Care Agency Taxonomy 251J00000X
Nursing Facility/Intermediate Care Facility Taxonomy 313M00000X
Pediatric Skilled Nursing Facility Taxonomy 3140N1450X

Record details

NPI number1831974955
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wanda Boone — Director · (262) 853-1344
NPI enumeratedAugust 28, 2023
Last updated in NPPESAugust 28, 2023
Certification dateAugust 28, 2023
Mailing address3315 W Burgundy Ct, Mequon, WI 53092-5202