Healthcare Provider Details

I. General information

NPI: 1851213714
Provider Name (Legal Business Name): HOUSE OF PEACE GROUP HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4951 N 48TH ST
MILWAUKEE WI
53218-4422
US

IV. Provider business mailing address

4951 N 48TH ST
MILWAUKEE WI
53218-4422
US

V. Phone/Fax

Practice location:
  • Phone: 262-825-3905
  • Fax:
Mailing address:
  • Phone: 262-825-3905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: PERRIONA WILLIAMS
Title or Position: CEO
Credential:
Phone: 262-825-3905