Healthcare Provider Details

I. General information

NPI: 1821906413
Provider Name (Legal Business Name): FAITH IN ACTION HOMES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1509 S RIDGEWAY RD
NEW BERLIN WI
53146-1530
US

IV. Provider business mailing address

1509 S RIDGEWAY RD
NEW BERLIN WI
53146-1530
US

V. Phone/Fax

Practice location:
  • Phone: 414-940-8999
  • Fax:
Mailing address:
  • Phone: 414-940-8999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: SHAWNA RIESEN
Title or Position: OWNER/OPERATOR
Credential:
Phone: 414-940-8999